MEDICARE: DR. OANA MADALINA PETRESCU 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
1	207RC0000X	Cardiovascular Disease Physician	MD00047822	WA
2	207UN0901X	Nuclear Cardiology Physician	MD00047822	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497778864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OANA MADALINA PETRESCU MD

Provider Business Mailing Address
First Line	:	16710 SE 34TH ST
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98008-5813
Country	:	US
Telephone Number	:	425-614-8415
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 17TH AVE STE 630
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-5797
Country	:	US
Telephone Number	:	206-861-8550
Fax Number	:	206-860-8551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	10/26/2010

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