NPI 1225165632

Michael L Ciccolo, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Las Vegas, NV

Practice location

Address: 3201 S Maryland Pkwy STE 220, Las Vegas, NV 89109-2424
Phone: (702) 961-9290
Mailing address: PO Box 100744, Atlanta, GA 30384-0744

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 9463 (NV)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Nevada →

Registry record

NPI: 1225165632
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Feb 2007
Record last updated: 7 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.