Deodorico, Iris

Deodorico, Iris is an individual health care provider with primary practice located at 1535 Gull Rd Suite 200, Kalamazoo MI 49048-1650. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Body Imaging is her primary health care specialty. Deodorico, Iris can be contacted via phone (269) 388-6350.

Contact Information

Primary practice address
1535 Gull Rd Suite 200 Kalamazoo MI 49048-1650
Phone: (269) 388-6350
Fax: (269) 388-4738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 4301062556 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301062556 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 4301062556 Michigan

Profile Details

NPI number 1245282771
LBN Legal business name Deodorico, Iris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245282771 NPPES
Michigan MEDICAID 4843037
Michigan MEDICAID 4635885

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