DR. MICHAEL UGO ANTONUCCI M.D. NPI 1588734289

NPI Information

NPI: 1588734289
Provider Name: DR. MICHAEL UGO ANTONUCCI, M.D.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Organization: UNIVERSITY MEDICAL ASSOCIATES

PECOS Registration: Yes

Address:
171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-1414
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DR. Michael Ugo Antonucci, M.D. is a neuroradiology radiology in Charleston, SC with 19 years of experience. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Michael Ugo Antonucci, M.D. NPI is 1588734289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2005

The provider's business location address is:

171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425-908
Phone: (843) 792-1414

The NPI 1588734289 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 3/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	36833	SOUTH CAROLINA	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	A120665	CALIFORNIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	36833	SOUTH CAROLINA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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