MEDICARE: IRINA ELENA POPA 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	207RH0003X	Hematology & Oncology Physician	22334	NE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00087945	OTHER		MEDICARE RR

Other Identifiers

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

General Provider Information

NPI Number	:	1649263542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRINA ELENA POPA MD

Provider Business Mailing Address
First Line	:	8303 DODGE ST
Second Line	:	#225
City	:	OMAHA
State	:	NE
Zip	:	68114-4108
Country	:	US
Telephone Number	:	402-354-5860
Fax Number	:	402-354-2350

Provider Business Practice Location Address
First Line	:	8303 DODGE ST
Second Line	:	#225
City	:	OMAHA
State	:	NE
Zip	:	68114-4108
Country	:	US
Telephone Number	:	402-354-5860
Fax Number	:	402-354-2350

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	06/26/2013

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Directions to “ IRINA ELENA POPA MD” Practice Location

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