Active NPIIndividual providerSole proprietor

Dr. Micheal G Adondakis, MD

Radiology, Diagnostic Radiology in Boise, Idaho

NPI Number1003306754
Practice location
1055 N Curtis RD, Boise, ID 83706-1309
Fax
706-596-6720
Last updated
May 1, 2024

Dr. Micheal G Adondakis, MD is a Radiology, Diagnostic Radiology based in Boise, ID. Dr. Micheal G Adondakis, MD holds the professional credentials of MD. The NPI number for Dr. Micheal G Adondakis, MD is 1003306754 and holds license No. 69822 (AZ). The current practice location address is 1055 N Curtis RD, Boise, ID 83706-1309 and the office can be reached by phone at 208-367-2121 and by fax at 706-596-6720. The NPI was assigned on May 17, 2018 and the record was last updated in NPPES on May 1, 2024.

●Provider Profile Details

NPI Number
1003306754
Provider Name
Micheal George Adondakis
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
Yes
Enumeration Date
May 17, 2018
Last Update Date
May 1, 2024
Certification Date
May 1, 2024
NPI Status
Active

◉Business Practice Location Address

Address
1055 N Curtis RD
Boise, ID 83706-1309
City
Boise
State
Idaho
ZIP
83706-1309
Country
US
Phone Number
208-367-2121
Fax Number
706-596-6720

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✉Business Mailing Address

Address
877 W Main St Ste 603
Boise, ID 83702-6070
City
Boise
State
ID
ZIP
83702-6070
Phone Number
208-954-8070
Fax Number
208-954-8073

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Radiology, Diagnostic Radiology2085R0202XNo69822AZ
Radiology, Diagnostic Radiology2085R0202XNoMD216181OR
Radiology, Diagnostic Radiology2085R0202XYesM-17306ID

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Micheal G Adondakis, MD?

The NPI number of Dr. Micheal G Adondakis, MD is 1003306754. It was assigned on May 17, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Micheal G Adondakis, MD?

Dr. Micheal G Adondakis, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X) and holds license No. 69822 (AZ).

Where does Dr. Micheal G Adondakis, MD practice?

The practice location is 1055 N Curtis RD, Boise, ID 83706-1309. The office can be reached at 208-367-2121 (phone) or 706-596-6720 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003306754 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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