Provider Demographics
NPI:1720068760
Name:STANCIU, IRINEL (MD)
Entity Type:Individual
Prefix:DR
First Name:IRINEL
Middle Name:
Last Name:STANCIU
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 1:12650 W 64TH AVE
Mailing Address - Street 2:UNIT E#437
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004
Mailing Address - Country:US
Mailing Address - Phone:720-894-0400
Mailing Address - Fax:720-894-0404
Practice Address - Street 1:7596 W JEWELL AVE STE 101
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6839
Practice Address - Country:US
Practice Address - Phone:720-894-0400
Practice Address - Fax:720-894-0404
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM 8254207RE0101X
CODR.0060967207RE0101X
COCDRH.0060967207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000167591Medicaid