Healthcare Provider Details

I. General information

NPI: 1013991496
Provider Name (Legal Business Name): ILEANA CALINOIU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: MS. ILEANA BELDESCU

II. Dates (important events)

Enumeration Date: 11/30/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8805 STEILACOOM BLVD SW
LAKEWOOD WA
98498-4770
US

IV. Provider business mailing address

217 10TH AVE S
KIRKLAND WA
98033-6502
US

V. Phone/Fax

Practice location:
  • Phone: 253-756-2322
  • Fax: 253-756-3911
Mailing address:
  • Phone: 425-828-0793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD00040981
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: