MEDICARE: TRACI S BIONDI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	16491	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215070214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACI S BIONDI MD

Provider Business Mailing Address
First Line	:	2602 LAKE RIDGE SHRS W
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89519-5780
Country	:	US
Telephone Number	:	206-349-5952
Fax Number	:

Provider Business Practice Location Address
First Line	:	2602 LAKE RIDGE SHRS W
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89519-5780
Country	:	US
Telephone Number	:	206-349-5952
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	12/06/2022

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Directions to “ TRACI S BIONDI MD” Practice Location

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