Disandro, Michael Joseph

Disandro, Michael Joseph is an individual health care provider with primary practice located at 747 52Nd St , Oakland CA 94609-1809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Disandro, Michael Joseph can be contacted via phone (510) 428-3885.

Contact Information

Primary practice address
747 52Nd St Oakland CA 94609-1809
Phone: (510) 428-3885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 83628 Florida
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X G70600 California

Profile Details

NPI number 1972539963
LBN Legal business name Disandro, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Aug 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972539963 NPPES
Florida MEDICAID 263295100

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