Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 16316 | ND |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 9761 | MT |
NPI | 1073700225 |
---|---|
Provider Name | Dr. Roberto Amado-Cattaneo |
First Address | Minot, ND 58702-5010 |
Second Address | Great Falls, MT 59405-5161 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2007 |
Last Update Date | 05/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000091638 | BCBS (01) | MT |
011002409 | (02) | MT |
1073700225 | (05) | MT |