Provider Demographics
NPI:1205861044
Name:IOANA A BINA MD INC
Entity Type:Organization
Organization Name:IOANA A BINA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IOANA
Authorized Official - Middle Name:ANCA
Authorized Official - Last Name:BINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-963-3311
Mailing Address - Street 1:PO BOX 685
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94573-0685
Mailing Address - Country:US
Mailing Address - Phone:707-963-3322
Mailing Address - Fax:707-963-3311
Practice Address - Street 1:1400 OAK AVE
Practice Address - Street 2:
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-1834
Practice Address - Country:US
Practice Address - Phone:707-963-3322
Practice Address - Fax:707-963-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85304207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A853040Medicaid
CAI25875Medicare UPIN
CA00A853040Medicaid