NPI 1912358318 · live from the CMS NPI Registry
Pedro Vinicius Staziaki, M.D.
Radiology, Diagnostic Radiology in Burlington, VT. National Provider Identifier 1912358318, active.
NPI record
| NPI | 1912358318 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-0000 |
| Enumerated | June 27, 2016 |
| Last updated | July 15, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 268556 (MA) |
| Internal Medicine | 207R00000X | 268556 (MA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 042-0015695 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.