Provider Demographics
NPI:1508368317
Name:TUDOR C JIANU MD A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:TUDOR C JIANU MD A PROFESSIONAL CORPORATION
Other - Org Name:ARTHRITIS AND RHEUMATISM INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TUDOR
Authorized Official - Middle Name:C
Authorized Official - Last Name:JIANU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-247-8317
Mailing Address - Street 1:8420 S EASTERN AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2875
Mailing Address - Country:US
Mailing Address - Phone:702-385-6468
Mailing Address - Fax:702-385-2663
Practice Address - Street 1:8420 S EASTERN AVE STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2875
Practice Address - Country:US
Practice Address - Phone:702-385-6468
Practice Address - Fax:702-385-2663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty