Provider Demographics
NPI:1932130721
Name:BARCELLI, UNO (MD)
Entity type:Individual
Prefix:
First Name:UNO
Middle Name:
Last Name:BARCELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 MULKEY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106
Mailing Address - Country:US
Mailing Address - Phone:678-460-2700
Mailing Address - Fax:770-739-0212
Practice Address - Street 1:1660 MULKEY RD
Practice Address - Street 2:SUITE B
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106
Practice Address - Country:US
Practice Address - Phone:678-460-2700
Practice Address - Fax:770-739-0212
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA45231207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA595631OtherBLUE CROSS BLUE SHIELD
GA000495316AMedicaid
GA000495316BMedicaid
GA110059640OtherR R MEDICARE
GA7231338OtherAETNA
GA964592OtherAETNA
GA110059640OtherRAILROAD MEDICARE
GA595631OtherBCBS
GA000495316CMedicaid
GA000495316DMedicaid
GA000495316GMedicaid
GA03169OtherBLUE GROUP
GA000495316EMedicaid
GA000495316FMedicaid
GA581992673001OtherUNITED HEALTHCARE
GA595631OtherBCBS
GA000495316DMedicaid