Provider Demographics
NPI:1245268085
Name:SINOPOLI, MICHAEL THOMAS (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:THOMAS
Last Name:SINOPOLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N STEPHANIE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6692
Mailing Address - Country:US
Mailing Address - Phone:702-952-3350
Mailing Address - Fax:702-952-3365
Practice Address - Street 1:7445 PEAK DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-9011
Practice Address - Country:US
Practice Address - Phone:702-952-2140
Practice Address - Fax:702-952-2180
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME937732085R0001X, 173000000X
NV136722085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL37017OtherBCBS
GA438429419AMedicaid
FL273599700Medicaid
FLP00342846OtherMEDICARE RAILROAD
FL301154OtherAVMED
FL273599700Medicaid
GA438429419AMedicaid
FLU5181RMedicare PIN
FLU5181DMedicare PIN
FLU5181BMedicare PIN
FLU5181AMedicare PIN
FLU5181IMedicare PIN
FLU5181CMedicare PIN
FLU5181XMedicare PIN
FLU5181FMedicare PIN
FLU5181EMedicare PIN
FLU5181YMedicare PIN
NVDT690ZMedicare PIN
FL301154OtherAVMED
FLI36147Medicare UPIN