DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOMAS MICHAEL POLIDORE, MD

Active Sole Proprietor

THOMAS MICHAEL POLIDORE, MD is a General Surgery healthcare provider located in ROSEVILLE, California. NPI 1366424095 is currently active in the NPPES registry. Verify at CMS.

General Surgery · ROSEVILLE, CA

Registration Details

NPI Number
1366424095
Provider Type
Individual
Gender
Male
NPI Issued
Nov 17, 2005 (20.756850406314 yrs)
Last Updated
Jan 11, 2018
Licenses
G83054 (CA)
G83054 (CA)
Sole Proprietor
Yes

Practice Information

Address
3 MEDICAL PLAZA DR STE 130
ROSEVILLE, CA, 956613088
Browse CA providers · Browse ZIP 95661
Phone
9167738750
Fax
9167974774
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery

Other General Surgery Providers in ROSEVILLE, CA

Name Credential NPI
BENJAMIN D SHADLE M.D. 1316928070
DR. GLENN SAU-SHUN TSE MD 1356325104
DR. ROLF N GULBRANDSON M.D. 1841270352
DR. ANDREW RICHARD DE MAR JR. M.D. 1891716023
DR. MICHAEL GLENN RIDGEWAY M.D. 1952322083
DR. PHILIP BOSCO M.D. 1376566422
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.