Provider Demographics
NPI:1295730174
Name:APOLTAN, IOANA M (MD)
Entity type:Individual
Prefix:DR
First Name:IOANA
Middle Name:M
Last Name:APOLTAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-718-8383
Mailing Address - Fax:336-718-9622
Practice Address - Street 1:3333 SILAS CREEK PKWY
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3013
Practice Address - Country:US
Practice Address - Phone:336-718-8383
Practice Address - Fax:336-718-9622
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000350207R00000X, 208M00000X
CT043044207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC0695COtherMEDICARE PTAN, INDIVIDUAL (UNDER WILKES PHYSICIAN NETWORK)
NC127YEOtherBCBS OF NC
NC40549OtherPARTNERS MEDICARE
NC110233903OtherRAILROAD MEDICARE
NC137703OtherSOUTHCARE PPO
NC5648734OtherAETNA
NC89127YEMedicaid
NCA4443OtherMEDCOST
NC2139405OtherUNITED HEALTHCARE
NC5648734OtherAETNA
NC2283472Medicare PIN