Provider Demographics
NPI:1104896083
Name:DOSADO, JOSE MARIUS D (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE MARIUS
Middle Name:D
Last Name:DOSADO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2400 S MINNESOTA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-3761
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1325 S. CLIFF AVE.
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1007
Practice Address - Country:US
Practice Address - Phone:605-322-4425
Practice Address - Fax:605-322-4499
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2013-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SD54822080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE4700115OtherUNITED HEALTHCARE
SD5482OtherDAKOTACARE
SD769221041935OtherPREFERRED ONE
IA0585679Medicaid
SD4995171OtherBLUE CROSS
SD4700174OtherMEDICA
SD2182715OtherARAZ/AMERICA'S PPO
SD370624200OtherDEPT OF LABOR
NE46022474345Medicaid
SD57105L015OtherWPS TRICARE
SDHP45238OtherHEALTHPARTNERS
MN040130007OtherPRIMEWEST
SD244288OtherMIDLANDS CHOICE
SD36757OtherSANFORD HEALTH PLAN
MN514T1DOOtherCC SYSTEMS/BLUE PLUS
SD6701790Medicaid
MN569197400Medicaid
SD6701790Medicaid
MN514T1DOOtherCC SYSTEMS/BLUE PLUS