Provider Demographics
NPI:1205048949
Name:SUCIU, ANCA (MD)
Entity type:Individual
Prefix:DR
First Name:ANCA
Middle Name:
Last Name:SUCIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANCA
Other - Middle Name:
Other - Last Name:MEREU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1100 TUNNEL RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2576
Mailing Address - Country:US
Mailing Address - Phone:828-299-2515
Mailing Address - Fax:828-299-5885
Practice Address - Street 1:33 W RAHN RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45429-2219
Practice Address - Country:US
Practice Address - Phone:937-433-8990
Practice Address - Fax:937-433-8691
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35092299207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2870166Medicaid
OHP00686932Medicare PIN
OH2870166Medicaid