NPI 1356802441 · live from the CMS NPI Registry
Mark Gerard Amirault, DO, MPH
Radiology, Diagnostic Radiology in Winston Salem, NC. National Provider Identifier 1356802441, active.
NPI record
| NPI | 1356802441 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | Medical Center Blvd, Winston Salem, NC 27157 |
| Practice phone | 336-716-7243 |
| Enumerated | March 29, 2019 |
| Last updated | July 24, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 2024-01726 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.