Dimitri Michael Petro in Donora - General Practice
Dimitri Michael Petro - NPI 1760469456
Dimitri Michael Petro is a General Practice in Donora, Pennsylvania. Dimitri Michael Petro practices all healthcare services and medical treatments related to General Practice. The NPI Number for Dimitri Michael Petro is 1760469456. The last update date is 2010-01-06.
Dimitri Michael Petro's current location address is 718 Mckean Ave, Donora, Pennsylvania. You can contact this provider via phone number 7243794401 and fax number 7243794568. The mailing address for Dimitri Michael Petro is 718 Mckean Ave, Donora, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dimitri Michael Petro |
|---|---|
| Address | 718 Mckean Ave, Donora, Pennsylvania |
| Phone Number | 7243794401 |
| Fax Number | 7243794568 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1760469456 |
|---|---|
| Provider Enumeration Date | 2005-12-23 |
| Last Updated Date | 2010-01-06 |
Provider Mailing Address Detail
| Address | 718 Mckean Ave |
|---|---|
| City | Donora |
| State | Pennsylvania (PA) |
| Post Code | 150331061 |
| Phone Number | 7243794401 |
| Fax Number | 7243794568 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | MD027877L |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66097 | PA | 3 RIVERS HEALTH PLAN | |
| 250818 | PA | UPMC | |
| 731177 | PA | -- |
Post Comment/ Review Below
What is the Dimitri Michael Petro's 1760469456?
The Dimitri Michael Petro's NPI (National Provider Identifier) Number is 1760469456. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dimitri Michael Petro is geographically located?
The Dimitri Michael Petro is physically situated at the following location: 718 Mckean Ave, Donora, PA, 150331061.
What is Dimitri Michael Petro's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dimitri Michael Petro's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760469456 to Dimitri Michael Petro?
The Centers for Medicare & Medicaid Services originally issued the 1760469456 to Dimitri Michael Petro on 2005-12-23.
When was the Dimitri Michael Petro's information last updated?
The Dimitri Michael Petro's information was last updated on 2010-01-06.