Provider Demographics
NPI:1386635092
Name:ALBERTI, MICHAEL PAUL (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:PAUL
Last Name:ALBERTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19589 N 96TH PL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255
Mailing Address - Country:US
Mailing Address - Phone:480-563-0424
Mailing Address - Fax:480-563-0425
Practice Address - Street 1:1930 E THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-7711
Practice Address - Country:US
Practice Address - Phone:602-532-2130
Practice Address - Fax:602-532-2015
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24716207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ453051001OtherGROUP HEALTH
AZ366618Medicaid
AZ3981220OtherEVERCARE GRP
AZAW1436OtherHEALTHNET GRP
AZAZ0728670OtherBLUE CROSS BLUE SHIELD GR
AZ860373636OtherHUMANA GROUP
AZ3981220OtherEVERCARE GRP
D15677Medicare UPIN