MEDICARE: MIHAI OLTEANU M.D.

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	207L00000X	Anesthesiology Physician	231771	NY
2	207L00000X	Anesthesiology Physician	MD444613	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00352818	OTHER	NY	RAILROAD MEDICARE

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	:	1649275942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIHAI OLTEANU M.D.

Provider Business Mailing Address
First Line	:	3998 FAIR RIDGE DR
Second Line	:	SUITE 300
City	:	FAIRFAX
State	:	VA
Zip	:	22033-2921
Country	:	US
Telephone Number	:	703-295-9360
Fax Number	:	703-766-9725

Provider Business Practice Location Address
First Line	:	707 E MAIN ST
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940
Country	:	US
Telephone Number	:	845-333-1445
Fax Number	:

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	03/30/2015

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Directions to “ MIHAI OLTEANU M.D.” Practice Location

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