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MARK SAMEH MIKHAIL RADT
NPI 1073249918
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since July 25, 2022
3145 IMPERIAL AVE, SAN DIEGO, CA 92102(909) 296-2508 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Sameh Mikhail Radt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK SAMEH MIKHAIL RADT (NPI 1073249918) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1073249918
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK SAMEH MIKHAILCredential: RADT
Location Address3145 IMPERIAL AVESan Diego, CA 92102-4319
Mailing Address3145 Imperial AveSan Diego, CA 92102-4319 · (909) 296-2508
Phone(909) 296-2508
Sole ProprietorNo
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
✔ NPI 1073249918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3145 IMPERIAL AVE, San Diego, CA 92102
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Mikhail's NPI number?

The NPI number for Mark Mikhail is 1073249918. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Mark Mikhail located?

Mark Mikhail practices at 3145 Imperial Ave, San Diego, CA 92102. The listed phone number is (909) 296-2508.

What is Mark Mikhail's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Mikhail was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.