NPI 1003306754 · live from the CMS NPI Registry
Micheal George Adondakis, MD
Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1003306754, active.
NPI record
| NPI | 1003306754 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1055 N Curtis Rd, Boise, ID 83706 |
| Practice phone | 208-367-2121 |
| Mailing address | 877 W Main St Ste 603, Boise, ID 83702 |
| Enumerated | May 17, 2018 |
| Last updated | May 1, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 69822 (AZ) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD216181 (OR) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | M-17306 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.