Provider Demographics
NPI:1104040971
Name:SAMPAIO, NEWTON A F (MD, FCAP)
Entity Type:Individual
Prefix:DR
First Name:NEWTON
Middle Name:A F
Last Name:SAMPAIO
Suffix:
Gender:M
Credentials:MD, FCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5422 W THUNDERBIRD RD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-4700
Mailing Address - Country:US
Mailing Address - Phone:602-547-1024
Mailing Address - Fax:
Practice Address - Street 1:5422 W THUNDERBIRD RD
Practice Address - Street 2:SUITE 13
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4700
Practice Address - Country:US
Practice Address - Phone:602-547-1024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10975207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE80443Medicare UPIN