Healthcare Provider Details

I. General information

NPI: 1639312440
Provider Name (Legal Business Name): MIHAELA VISOIU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2009
Last Update Date: 04/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 5TH AVE CHILDREN'S HOSPITAL OF PITTSBURGH
PITTSBURGH PA
15213-2584
US

IV. Provider business mailing address

3054 TERRACE ST
PITTSBURGH PA
15213-2406
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5052
  • Fax:
Mailing address:
  • Phone: 412-586-7486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD434572
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: