Provider Demographics
NPI:1033411699
Name:SARATEANU, CRISTIAN SORIN (MD)
Entity Type:Individual
Prefix:
First Name:CRISTIAN
Middle Name:SORIN
Last Name:SARATEANU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:CRISTIAN
Other - Middle Name:SORIN
Other - Last Name:SARATEANU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1105
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-1105
Mailing Address - Country:US
Mailing Address - Phone:618-536-2565
Mailing Address - Fax:618-536-2835
Practice Address - Street 1:409 W OAK ST
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901-1414
Practice Address - Country:US
Practice Address - Phone:618-536-2565
Practice Address - Fax:618-536-2835
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101247338208600000X
IL036131649208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL214881Medicare Oscar/Certification