Provider Demographics
NPI:1710989561
Name:SCHIPOR, IOANA (MD)
Entity Type:Individual
Prefix:
First Name:IOANA
Middle Name:
Last Name:SCHIPOR
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 1:9436 N SAYBROOK DR
Mailing Address - Street 2:APT #122
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0758
Mailing Address - Country:US
Mailing Address - Phone:559-434-5639
Mailing Address - Fax:
Practice Address - Street 1:1351 E SPRUCE AVE
Practice Address - Street 2:CENTRAL CALIFORNIA EAR, NOSE AND THROAT MEDICAL GROUP
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3342
Practice Address - Country:US
Practice Address - Phone:559-432-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD420678207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology