Healthcare Provider Details

I. General information

NPI: 1053646182
Provider Name (Legal Business Name): GEANINA ROMAN-POPOVENIUC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

5903 SONOMA RD
BETHESDA MD
20817-3450
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-5165
  • Fax: 301-295-5170
Mailing address:
  • Phone: 703-317-7606
  • Fax: 301-295-5170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD039909
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberD0076674
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: