Provider Demographics
NPI:1497226419
Name:BIRLADEANU MEDICAL CORP
Entity Type:Organization
Organization Name:BIRLADEANU MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRLADEANU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-789-0945
Mailing Address - Street 1:5255 ELKHORN BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95842-2506
Mailing Address - Country:US
Mailing Address - Phone:916-334-1100
Mailing Address - Fax:916-400-9264
Practice Address - Street 1:5255 ELKHORN BLVD STE A
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95842-2506
Practice Address - Country:US
Practice Address - Phone:916-334-1100
Practice Address - Fax:916-400-9264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty