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NPI Code Detail

MEDICARE: MS. ILEANA CALINOIU MD

MEDICARE: MS. ILEANA CALINOIU MD
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianMD00040981WA

General Provider Information

NPI Number : 1013991496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ILEANA CALINOIU MD
Provider Business Mailing Address
First Line : 217 10TH AVE S
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-6502
Country : US
Telephone Number : 425-828-0793
Fax Number :
Provider Business Practice Location Address
First Line : 8805 STEILACOOM BLVD SW
Second Line :
City : LAKEWOOD
State : WA
Zip : 98498-4770
Country : US
Telephone Number : 253-756-2322
Fax Number : 253-756-3911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 07/08/2007

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