De Petris, Giovanni
De Petris, Giovanni is an individual health care provider with primary practice located at 13400 E Shea Blvd , Scottsdale AZ 85259-5404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. De Petris, Giovanni can be contacted via phone (480) 301-8000.Contact Information
Primary practice address
13400 E Shea Blvd
Scottsdale AZ 85259-5404
Phone: (480) 301-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 30103 | Arizona |
Profile Details
| NPI number | 1699759795 |
|---|---|
| LBN Legal business name | De Petris, Giovanni |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Oct 29th, 2007 - about 17 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 | 1699759795 | NPPES |
| Arizona | MEDICAID | 690455 | |
| Arizona | Other | 86080015085259A766 |
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