Bardo, Dianna M.E.
Bardo, Dianna M.E. is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Bardo, Dianna M.E. can be contacted via phone (602) 933-1213.Contact Information
Primary practice address
1919 E Thomas Rd
Phoenix AZ 85016-7710
Phone: (602) 933-1213
Fax: (602) 933-1214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MD27931 | Oregon |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 036102322 | Illinois |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MD60515635 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 50996 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 036102322 | Illinois |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD60515635 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036102322 | Illinois |
Profile Details
| NPI number | 1881686111 |
|---|---|
| LBN Legal business name | Bardo, Dianna M.E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Dec 27th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881686111 | NPPES |
| Arizona | MEDICAID | 044185 | |
| Arizona | MEDICAID | 036102322 | |
| Arizona | MEDICAID | 1056261 |
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