Provider Demographics
NPI:1285737437
Name:FRANGOS, DINO NICHOLAS (MD)
Entity type:Individual
Prefix:
First Name:DINO
Middle Name:NICHOLAS
Last Name:FRANGOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DINO
Other - Middle Name:N
Other - Last Name:FRANGOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:168 MOBILE INFIRMARY BLVD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-3510
Mailing Address - Country:US
Mailing Address - Phone:251-433-1895
Mailing Address - Fax:251-433-1917
Practice Address - Street 1:168 MOBILE INFIRMARY BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3510
Practice Address - Country:US
Practice Address - Phone:251-433-1895
Practice Address - Fax:251-433-1917
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15087208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051081900OtherBCBS
AL000081900Medicaid
AL000081900Medicare ID - Type Unspecified
AL000081900Medicaid