Matthew Bryan Mastrodomenico M.D.

  • NPI 1487944930
According to our database, the NPI number for Matthew Bryan Mastrodomenico M.D. is 1487944930 and activated since 13 years ago. Matthew Bryan Mastrodomenico M.D. is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 2915 Missouri Ave, Shreveport, LA 71109. You can also contact Matthew Bryan Mastrodomenico M.D. via telephone number is (318) 621-8820. Provider NPI information was last updated on 07/22/2016.

Recently Active NPIs

Overview of Matthew Bryan Mastrodomenico M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/17/2011
  • Last updated: 07/22/2016

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: Po Box 731280
    Dallas, TX 75373
  • Phone: 318-841-9526
  • Fax: 318-841-9551

Provider Practice Location

  • Address: 2915 Missouri Ave
    Shreveport, LA 71109
  • Phone: 318-621-8820
  • Fax: 318-212-4189

Scope of Practice

  • Taxonomy Code: 207ZP0102X
  • Specialty: Anatomic Pathology & Clinical Pathology
  • License Number: MD37690
  • License State: SC
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 13776549
  • Identifier Type: Other
  • Identifier State: LA
  • Issuer: CAQH

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Matthew Bryan Mastrodomenico M.D.?
  • A: The npi number for Matthew Bryan Mastrodomenico M.D. is 1487944930.
  • Q: What are Matthew Bryan Mastrodomenico M.D.'s specialties?
  • A: Matthew Bryan Mastrodomenico M.D.'s specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Matthew Bryan Mastrodomenico M.D.?
  • A: The medical license number for Matthew Bryan Mastrodomenico M.D. is unknow and issued in unknow in USA.
  • Q: Where is Matthew Bryan Mastrodomenico M.D. practice location?
  • A: Matthew Bryan Mastrodomenico M.D. is practicing at 2915 Missouri Ave, Shreveport, LA 71109.
  • Q: How to contact Matthew Bryan Mastrodomenico M.D.?
  • A: You can contact Matthew Bryan Mastrodomenico M.D. via 318-621-8820.