Provider Demographics
NPI:1922079193
Name:GRAMATOVICI, RAZVAN N (MD)
Entity Type:Individual
Prefix:
First Name:RAZVAN
Middle Name:N
Last Name:GRAMATOVICI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE, N430
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:412-432-7706
Mailing Address - Fax:412-432-7691
Practice Address - Street 1:100 FAIRFIELD DR
Practice Address - Street 2:DEPT OF RADIATION ONCOLOGY
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2130
Practice Address - Country:US
Practice Address - Phone:814-676-7900
Practice Address - Fax:814-676-7887
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048437L2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014085980008Medicaid
PA0014085980009Medicaid
PA729696OtherHIGHMARK
PA11277351OtherCAQH
PAF50508Medicare UPIN
PA0014085980008Medicaid
PAP00267976Medicare PIN