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NPI Code Detail

MEDICARE: ANTONIO AMODEO MD

MEDICARE: ANTONIO AMODEO 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianSFP56CA

General Provider Information

NPI Number : 1710842760
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONIO AMODEO MD
Provider Business Mailing Address
First Line : 725 WELCH RD
Second Line :
City : PALO ALTO
State : CA
Zip : 94304-1601
Country : US
Telephone Number : 650-497-8000
Fax Number :
Provider Business Practice Location Address
First Line : 725 WELCH RD
Second Line :
City : PALO ALTO
State : CA
Zip : 94304-1601
Country : US
Telephone Number : 650-498-2738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 02/10/2026

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Directions to “ ANTONIO AMODEO MD” Practice Location

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