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MICHAEL S REARDON M.D. NPI 1487607057


NPI Profile

NPI: 1487607057
Provider Name: MICHAEL S REARDON, M.D.
Classification:Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
900 WELCH RD
SUITE 101
PALO ALTO, CA
ZIP 94304
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Phone: (650) 617-8655

Michael S Reardon, M.D. is a diagnostic radiology radiology in Palo Alto, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael S Reardon, M.D. NPI is 1487607057. 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:

900 WELCH RD
SUITE 101
PALO ALTO, CA
ZIP 94304-805
Phone: (650) 617-8655
Fax: (650) 322-3416

The enumeration date for this NPI number is 5/18/2006 and was last updated on 8/28/2008.


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
12085R0202XRadiologyDiagnostic RadiologyA30575CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0012480MEDICAIDCALIFORNIA
200A305750MEDICARE PINCALIFORNIA
3A30575MEDICARE UPINCALIFORNIA

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: 10/10/2021

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.