Diaz, Michael J
Diaz, Michael J is an individual health care provider with primary practice located at 14231 Seaway Rd Ste 5003 , Gulfport MS 39503-4660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Diaz, Michael J can be contacted via phone (228) 864-4392.Contact Information
Primary practice address
14231 Seaway Rd Ste 5003
Gulfport MS 39503-4660
Phone: (228) 864-4392
Fax: (228) 868-7103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 13433 | Mississippi |
Profile Details
| NPI number | 1780685578 |
|---|---|
| LBN Legal business name | Diaz, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Nov 3rd, 2017 - about 7 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 | 1780685578 | NPPES |
| Mississippi | MEDICAID | 00155062 |
Popular Providers
-
Pande, Leena
14231 Seaway Rd Ste 5003 , Gulfport MS 39503-4660 -
Mullins, Jonathan Barry
14231 Seaway Rd Ste 5003 , Gulfport MS 39503-4660 -
Crowder, Jason Bradley
14245 Dedeaux Rd , Gulfport MS 39503-3369 -
Smith, Lisa Mabry
14257 Dedeaux Rd , Gulfport MS 39503-3369 -
Lawson, Eric D.
14231 Seaway Rd Ste 5003 , Gulfport MS 39503-4660 -
Wetzel, Raun Joseph
14231 Seaway Rd , Gulfport MS 39503-4628 -
Allman, Russell Elbey
14231 Seaway Rd Ste 5003 , Gulfport MS 39503-4660 -
Hays, Richard P
14245 Dedeaux Rd , Gulfport MS 39503-3369