Provider Demographics
NPI:1275687865
Name:DINU, ALEXANDRU COSTIN (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRU
Middle Name:COSTIN
Last Name:DINU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 751069
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2010 W ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5779
Practice Address - Country:US
Practice Address - Phone:252-847-0617
Practice Address - Fax:252-847-0058
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT49805208100000X
NC2017-02037208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC19RFPOtherBCBS OF NC
1548210040OtherNPI GRP W/FLO REHAB MED
02857867OtherUPIN
NC1275687865Medicaid
SCAA30980281OtherSC MEDICARE PTAN
SCGP1467Medicaid
NCNCZ379AOtherMEDICARE