MEDICARE: DR. ALINA M. GRIGORE MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	K9552	TX
2	207L00000X	Anesthesiology Physician	14884	NV
3	207L00000X	Anesthesiology Physician	37065	AZ
4	207L00000X	Anesthesiology Physician	01088448A	IN

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1659371102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALINA M. GRIGORE MD

Provider Business Mailing Address
First Line	:	PO BOX 843603
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-3603
Country	:	US
Telephone Number	:	972-233-1999
Fax Number	:	972-233-3666

Provider Business Practice Location Address
First Line	:	1551 E TANGERINE RD
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85755-6213
Country	:	US
Telephone Number	:	520-901-3500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	12/13/2024

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672