MEDICARE: DR. MICHAEL G PALLADINO DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	1907	TX

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	:	1467455303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL G PALLADINO DPM

Provider Business Mailing Address
First Line	:	7703 FLOYD CURL DR
Second Line	:	MC7977
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3901
Country	:	US
Telephone Number	:	210-450-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 FLOYD CURL DR
Second Line	:	3RD FL -3C
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3931
Country	:	US
Telephone Number	:	210-450-9300
Fax Number	:	210-450-6023

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/16/2012

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