Provider Demographics
NPI:1457387169
Name:RADIGHIERI, ALESSANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALESSANDRO
Middle Name:
Last Name:RADIGHIERI
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 1:3200 TROUP HWY
Mailing Address - Street 2:SUITE #200
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-8397
Mailing Address - Country:US
Mailing Address - Phone:903-533-8084
Mailing Address - Fax:903-535-9543
Practice Address - Street 1:3200 TROUP HWY
Practice Address - Street 2:SUITE #200
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-8397
Practice Address - Country:US
Practice Address - Phone:903-533-8084
Practice Address - Fax:903-535-9543
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE2803207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83V289Medicare ID - Type Unspecified
TXD67564Medicare UPIN