Provider Demographics
NPI:1275405292
Name:LAGO PINHEIRO, DIOGO (MD)
Entity type:Individual
Prefix:
First Name:DIOGO
Middle Name:
Last Name:LAGO PINHEIRO
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 1:1120 15TH ST . BA 1411
Mailing Address - Street 2:DEPARTMENT OF RADIOLOGY
Mailing Address - City:AUGUST
Mailing Address - State:GA
Mailing Address - Zip Code:30912
Mailing Address - Country:US
Mailing Address - Phone:762-375-2464
Mailing Address - Fax:706-721-7319
Practice Address - Street 1:1120 15TH ST . BA 1411
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:AUGUST
Practice Address - State:GA
Practice Address - Zip Code:30912
Practice Address - Country:US
Practice Address - Phone:762-375-2464
Practice Address - Fax:706-721-7319
Is Sole Proprietor?:No
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program