Provider Demographics
NPI:1497920292
Name:TANASE, ANCA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANCA
Middle Name:
Last Name:TANASE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANCA
Other - Middle Name:
Other - Last Name:BELOIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 JEFFERSON AVE SE RM 549
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-4502
Mailing Address - Country:US
Mailing Address - Phone:616-685-5579
Mailing Address - Fax:616-685-8910
Practice Address - Street 1:200 JEFFERSON AVE SE RM 549
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-4502
Practice Address - Country:US
Practice Address - Phone:616-685-5579
Practice Address - Fax:616-685-8910
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA247011207R00000X
MI4301102753207R00000X, 208M00000X
OH91574207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine