Individual
MARK DALESANDRO
Active
Individual
MARK DALESANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD60547959
WA
2085R0202X
Diagnostic Radiology Physician
04-39663
KS
2085R0202X
Diagnostic Radiology Physician
29821
NE
2085R0202X
Diagnostic Radiology Physician
331958
LA
2085R0202X
Diagnostic Radiology Physician
55544
TN
2085R0202X
Diagnostic Radiology Physician
Primary
58032
CO
2085R0202X
Diagnostic Radiology Physician
R1731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111257097
MEDICARE PIN
KS
05
—
1144548975
—
CO
01
—
559586YQ33
MEDICARE PIN
CO
01
—
559586YQN9
MEDICARE PIN
CO
01
—
559586YQPG
MEDICARE PIN
CO
01
—
559586ZLJ3
MEDICARE PIN
CO
01
—
559586ZNTB
MEDICARE PIN
CO
01
—
KA3249088
MEDICARE PIN
KS
01
—
NA1214110
MEDICARE PIN
NE
01
—
NA1215111
MEDICARE PIN
NE
01
—
NA2517088
MEDICARE PIN
NE
Enumeration date
05/04/2010
Last updated
08/10/2022
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