Basic Information
Provider Information
NPI: 1386960540
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: IONESCU
FirstName: DANA
MiddleName: IOANA
NamePrefix:  
NameSuffix:  
Credential: M. D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MARCU
OtherFirstName: DANA
OtherMiddleName: IOANA
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M. D.
OtherLastNameType: 1
Mailing Information
Address1: 5410 MARYLAND WAY STE 300
Address2:  
City: BRENTWOOD
State: TN
PostalCode: 370275339
CountryCode: US
TelephoneNumber: 2067348383
FaxNumber:  
Practice Location
Address1: 16251 SYLVESTER RD SW
Address2:  
City: BURIEN
State: WA
PostalCode: 981663017
CountryCode: US
TelephoneNumber: 3607748800
FaxNumber: 4409220145
Other Information
ProviderEnumerationDate: 04/13/2010
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD60281974WAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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