Dr. Micheal George Adondakis, MD
Radiology, Diagnostic Radiology in Boise, ID. Individual provider (NPI-1).
NPI number1003306754
StatusActive
Last updated in NPPESMay 1, 2024
Details
- NPI
- 1003306754
- Entity type
- Individual (NPI-1)
- Name
- Dr. Micheal George Adondakis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2018
- Certification date
- May 1, 2024
- Last updated
- May 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | M-17306 | ID | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 69822 | AZ | |
| 2085R0202X | Radiology, Diagnostic Radiology | MD216181 | OR |
Practice location
1055 N Curtis RdBoise, ID 83706-1309
Phone 208-367-2121 · Fax 706-596-6720
Mailing address
877 W Main St Ste 603Boise, ID 83702-6070
Phone 208-954-8070 · Fax 208-954-8073
Other practice locations
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phoenix, AZ 85013-4409
Phone 602-406-3430
2910 N 3rd Ave
Phoenix, AZ 85013-4434
Phoenix, AZ 85013-4434
Phone 602-406-7783
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