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MICHAEL PETRIDES NPI 1609221969


NPI Information

NPI: 1609221969
Provider Name: MICHAEL PETRIDES
Classification: Radiology - 2085N0904X
Entity Type: Individual

Specialization: Nuclear Radiology

PECOS Registration: Yes

Address:
3400 SPRUCE STREET
1 SILVERSTEIN, SUITE 130
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-6918
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Michael Petrides is a nuclear radiology radiology in Philadelphia, PA with 8 years of experience. The provider is a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. Michael Petrides NPI is 1609221969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3400 SPRUCE STREET
1 SILVERSTEIN, SUITE 130
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-6918
Fax: (215) 662-2664

The NPI 1609221969 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 4/25/2016 and was last updated on 7/29/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0904XRadiologyNuclear RadiologyMT223806PENNSYLVANIAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.