PEDRO VINICIUS STAZIAKI M.D. NPI 1912358318

NPI Information

NPI: 1912358318
Provider Name: PEDRO VINICIUS STAZIAKI, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
111 COLCHESTER AVE
BURLINGTON, VT
ZIP 05401
Phone: (802) 847-0000
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Pedro Vinicius Staziaki, M.D. is a diagnostic radiology radiology in Burlington, VT with 11 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Pedro Vinicius Staziaki, M.D. NPI is 1912358318. 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:

111 COLCHESTER AVE
BURLINGTON, VT
ZIP 05401-473
Phone: (802) 847-0000

The NPI 1912358318 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 6/27/2016 and was last updated on 7/15/2022.

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	2085R0202X	Radiology	Diagnostic Radiology	268556	MASSACHUSETTS	No
2	207R00000X	Internal Medicine		268556	MASSACHUSETTS	No
3	2085R0202X	Radiology	Diagnostic Radiology	042-0015695	VERMONT	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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