Diodato, Michael Dominick

Diodato, Michael Dominick is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 500 , Phoenix AZ 85013-4220. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Diodato, Michael Dominick can be contacted via phone (602) 406-4000.

Contact Information

Primary practice address
500 W Thomas Rd Ste 500 Phoenix AZ 85013-4220
Phone: (602) 406-4000
Fax: (602) 406-6498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036124370 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 051916 Connecticut
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 051916 Connecticut
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 55156 Arizona

Profile Details

NPI number 1124270053
LBN Legal business name Diodato, Michael Dominick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2008
Last updated Nov 29th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124270053 NPPES
Connecticut MEDICAID 001519164

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