Provider Demographics
NPI:1811126212
Name:LUCA, NICOLAE GH (MD)
Entity type:Individual
Prefix:MR
First Name:NICOLAE
Middle Name:GH
Last Name:LUCA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4038
Mailing Address - Street 2:501 J. STREET SUITE 220
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811
Mailing Address - Country:US
Mailing Address - Phone:916-322-8378
Mailing Address - Fax:916-445-7864
Practice Address - Street 1:501 J. STREET
Practice Address - Street 2:SUITE 220
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95812
Practice Address - Country:US
Practice Address - Phone:916-322-8378
Practice Address - Fax:916-445-7864
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA36766207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine