Provider Demographics
NPI:1457339004
Name:CALINESCU, CORNELL V (MD)
Entity Type:Individual
Prefix:
First Name:CORNELL
Middle Name:V
Last Name:CALINESCU
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 1:2665 S MONTE CRISTO WAY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2948
Mailing Address - Country:US
Mailing Address - Phone:954-649-5739
Mailing Address - Fax:
Practice Address - Street 1:2665 S MONTE CRISTO WAY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2948
Practice Address - Country:US
Practice Address - Phone:954-649-5739
Practice Address - Fax:954-239-5378
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87540207P00000X
NV16111207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV16111OtherMEDICAL LICENSE
FL267591900Medicaid
FL81104OtherBC/BS
FL81104OtherBC/BS
H72462Medicare UPIN
FL81104EMedicare PIN