IndividualActive
Michael Disandro, M.D.
NPI 1972539963 · Pediatric Urology Physician · Oakland, CA
Provider details
- NPI number
- 1972539963
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 83628 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
747 52nd St
Oakland, CA 94609-1809
Phone: (510) 428-3885
Approximate (ZIP-level) locationGet directions
Mailing address
3200 Sw 60th Ct
Miami, FL 33155-4000
Additional practice locations (1)
- 3200 Sw 60th CtSuite 105Miami, FL 33155-4000Phone: (305) 669-6448Fax: (305) 663-8485
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2023-08-04
- Certified
- 2023-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.