Provider Demographics
NPI:1659371102
Name:GRIGORE, ALINA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:M
Last Name:GRIGORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1701 N SENATE BLVD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1239
Practice Address - Country:US
Practice Address - Phone:317-274-0275
Practice Address - Fax:317-274-0256
Is Sole Proprietor?:No
Enumeration Date:2005-07-27
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ37065207L00000X
TXK9552207L00000X
MDD0070105207L00000X
NV14884207L00000X
IN01088448A207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV112126OtherMEDICARE PTAN
NVP01651971OtherRAILROAD MC PTAN
NV1659371102Medicaid
AZ224831Medicaid
TX036582701Medicaid
AZ86080015085054B195OtherTRICARE
AZP00420081OtherRAILROAD MEDICARE
NVV112126Medicare PIN
AZ224831Medicaid
MD172318ZACHMedicare PIN
NVV112126OtherMEDICARE PTAN
TXG75275Medicare UPIN