IndividualActive
Barry Fernando, MD
NPI 1104817378 · Plastic and Reconstructive Surgery Physician · Phoenix, AZ
Provider details
- NPI number
- 1104817378
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 17802 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2777 E Camelback Rd Ste 140
#780
Phoenix, AZ 85016-4351
Phone: (602) 956-3596
Fax: (602) 956-4762
Approximate (ZIP-level) locationGet directions
Mailing address
2777 E Camelback Rd Ste 140
Phoenix, AZ 85016-4351
Registry dates
- Enumerated
- 2005-11-04
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.