SHONTAL BEHAN DIONISOPOULOS DPM NPI 1720583321

NPI Information

NPI: 1720583321
Provider Name: SHONTAL BEHAN DIONISOPOULOS, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
275 W MACARTHUR BLVD
OAKLAND, CA
ZIP 94611
Phone: (510) 752-1000
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Shontal Behan Dionisopoulos, DPM is a foot and ankle surgery podiatrist in Oakland, CA with 6 years of experience. Shontal Behan Dionisopoulos, DPM NPI is 1720583321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

275 W MACARTHUR BLVD
OAKLAND, CA
ZIP 94611-641
Phone: (510) 752-1000

The NPI 1720583321 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).

The enumeration date for this NPI number is 3/26/2018 and was last updated on 12/20/2021.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	E5718	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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