Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JOSEPH DISANDRO, M.D.
ActiveDR. MICHAEL JOSEPH DISANDRO, M.D. is a Pediatric Urology healthcare provider located in OAKLAND, California. NPI 1972539963 is currently active in the NPPES registry. Verify at CMS.
Pediatric Urology · OAKLAND, CA
Registration Details
- NPI Number
- 1972539963
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2006 (19.956446479557 yrs)
- Last Updated
- Aug 4, 2023
- Licenses
-
83628 (FL)G70600 (CA)
Practice Information
- Address
-
747 52ND STOAKLAND, CA, 946091809Browse CA providers · Browse ZIP 94609
- Phone
- 5104283885
- Primary Specialty
-
Pediatric Urology
2088P0231X
- Additional Specialty
- Pediatric Urology
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.