Healthcare Provider Details

I. General information

NPI: 1497226419
Provider Name (Legal Business Name): BIRLADEANU MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2018
Last Update Date: 12/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 ELKHORN BLVD STE A
SACRAMENTO CA
95842-2506
US

IV. Provider business mailing address

5255 ELKHORN BLVD STE A
SACRAMENTO CA
95842-2506
US

V. Phone/Fax

Practice location:
  • Phone: 916-334-1100
  • Fax: 916-400-9264
Mailing address:
  • Phone: 916-334-1100
  • Fax: 916-400-9264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ADRIAN BIRLADEANU
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 813-789-0945