Provider Demographics
NPI:1831458892
Name:PRISACARU, ILINCA CRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:ILINCA
Middle Name:CRISTINA
Last Name:PRISACARU
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 1:7067 VETERANS PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-5128
Mailing Address - Country:US
Mailing Address - Phone:205-884-9000
Mailing Address - Fax:205-884-8111
Practice Address - Street 1:7067 VETERANS PKWY STE 200
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-5128
Practice Address - Country:US
Practice Address - Phone:205-884-9000
Practice Address - Fax:205-884-8111
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL34531207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine