Provider Demographics
NPI:1568568152
Name:GIORDANI, MAURO M (MD)
Entity Type:Individual
Prefix:
First Name:MAURO
Middle Name:M
Last Name:GIORDANI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4860 Y ST
Mailing Address - Street 2:SUITE 3800
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-5885
Mailing Address - Fax:916-734-7904
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:SUITE 1700
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-2700
Practice Address - Fax:916-703-5074
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2012-11-15
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Provider Licenses
StateLicense IDTaxonomies
KY40074207XS0114X, 207XX0801X
CAG 57052207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
E02364Medicare UPIN