Provider Demographics
NPI:1154370757
Name:SCIUTTO, CRISTIAN E (MD)
Entity type:Individual
Prefix:DR
First Name:CRISTIAN
Middle Name:E
Last Name:SCIUTTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16243
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85011-6243
Mailing Address - Country:US
Mailing Address - Phone:602-770-1768
Mailing Address - Fax:602-595-6686
Practice Address - Street 1:1007 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-1414
Practice Address - Country:US
Practice Address - Phone:602-770-1768
Practice Address - Fax:602-595-6686
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28345207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH31759Medicare UPIN