IndividualActive
Michael Petrides
NPI 1609221969 · Nuclear Radiology Physician · Philadelphia, PA
Provider details
- NPI number
- 1609221969
- Entity type
- Individual
- Primary specialty
- Nuclear Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- MT223806 (PA)
Practice location
3400 Spruce Street
1 Silverstein, Suite 130
Philadelphia, PA 19104
Phone: (215) 662-6918
Fax: (215) 662-2664
Mailing address
3400 Spruce Street
Philadelphia, PA 19104
Registry dates
- Enumerated
- 2016-04-25
- Last updated
- 2021-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.