Provider Demographics
NPI:1427066562
Name:PADIAL, MICHAEL S (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:PADIAL
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:DAVIS AVE AT E POST RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4615
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:41 DAVIS AVE
Practice Address - Street 2:WPH-HOSPITALIST DEPT
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1034
Practice Address - Country:US
Practice Address - Phone:914-681-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191639207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1078154OtherAETNA - HMO
NY4592592OtherAETNA - PPO
NYP3632178OtherOXFORD HEALTH PLAN
TINOtherHORIZON HEALTHCARE
NY4C8175OtherHEALTH NET
CTTINOtherMULTIPLAN
NY26J843OtherEMPIRE BC/BS
NYTINOtherHORIZION HEALTHCARE
TINOtherMULTIPLAN
NY1838120OtherUNITED HEALTHCARE
NY7674728OtherCIGNA
NYPENDING 1ST CLAIMOtherRAILROAD MEDICARE
NYTINOtherHORIZION HEALTHCARE
TINOtherMULTIPLAN
NY4592592OtherAETNA - PPO