DAVID PETRELLA M.D. NPI 1407872922

NPI Information

NPI: 1407872922
Provider Name: DAVID PETRELLA, M.D.
Classification: Radiology - 2085N0904X
Entity Type: Individual

Specialization: Nuclear Radiology

Address:
211 S CRAPO ST
SUITE F
MT PLEASANT, MI
ZIP 48858
Phone: (989) 773-2081
Get Directions

David Petrella, M.D. is a nuclear radiology radiology in Mt Pleasant, MI. 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. David Petrella, M.D. NPI is 1407872922. 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:

211 S CRAPO ST
SUITE F
MT PLEASANT, MI
ZIP 48858-961
Phone: (989) 773-2081
Fax: (989) 773-3418

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/8/2007.

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	2085N0904X	Radiology	Nuclear Radiology	4301040434	MICHIGAN	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	4301040434	MICHIGAN	X
3	2085R0204X	Radiology	Vascular & Interventional Radiology	4301040434	MICHIGAN	X
4	2085U0001X	Radiology	Diagnostic Ultrasound	4301040434	MICHIGAN	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D91274	MEDICARE UPIN	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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