Provider Demographics
NPI:1447486246
Name:BARINA, JAYA (MD)
Entity type:Individual
Prefix:DR
First Name:JAYA
Middle Name:
Last Name:BARINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1296 JEFFCO BLVD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-2138
Mailing Address - Country:US
Mailing Address - Phone:636-321-8600
Mailing Address - Fax:636-321-8602
Practice Address - Street 1:1296 JEFFCO BLVD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-2138
Practice Address - Country:US
Practice Address - Phone:636-321-8600
Practice Address - Fax:636-321-8602
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015012457261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care