Provider Demographics
NPI:1780312801
Name:BANICA, IULIA
Entity type:Individual
Prefix:
First Name:IULIA
Middle Name:
Last Name:BANICA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 O'HARA STREET
Mailing Address - Street 2:BELLEFIELD TOWERS 8TH FL ROOM 803
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:514-213-5943
Mailing Address - Fax:
Practice Address - Street 1:3811 O'HARA STREET
Practice Address - Street 2:BELLEFIELD TOWERS 8TH FL ROOM 803
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:514-213-5943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-09
Last Update Date:2023-04-03
Deactivation Date:2023-03-13
Deactivation Code:
Reactivation Date:2023-04-03
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program