Provider Demographics
NPI:1922279124
Name:EMILIA DULGHERU RHEUMATOLOGY LLC
Entity Type:Organization
Organization Name:EMILIA DULGHERU RHEUMATOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DULGHERU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-686-1144
Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63902-0369
Mailing Address - Country:US
Mailing Address - Phone:573-686-1144
Mailing Address - Fax:573-686-0178
Practice Address - Street 1:2400 LUCY LEE PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2429
Practice Address - Country:US
Practice Address - Phone:573-686-1144
Practice Address - Fax:573-686-3312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006029612207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1407850100OtherINDIVIDUAL NPI
=========OtherTAX ID