Provider Demographics
NPI:1003067414
Name:CUDRICI, CORNELIA DIANA (MD)
Entity type:Individual
Prefix:DR
First Name:CORNELIA
Middle Name:DIANA
Last Name:CUDRICI
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 1:261 CONGRESSIONAL LN APT 417
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-5309
Mailing Address - Country:US
Mailing Address - Phone:585-301-6006
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DRIVE BLD 10 RM 6N216A
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-443-5519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0071894207R00000X
MDD71894208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine