Provider Demographics
NPI:1841494051
Name:STANILA, VLAD VASILE (MD)
Entity type:Individual
Prefix:DR
First Name:VLAD
Middle Name:VASILE
Last Name:STANILA
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:PSC 482
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96362
Mailing Address - Country:US
Mailing Address - Phone:315-646-9620
Mailing Address - Fax:
Practice Address - Street 1:680 JOHN PAUL JONES CIRC
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:23701
Practice Address - Country:US
Practice Address - Phone:757-314-0556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI57206-20171000000X
1744R1102X, 390200000X
WI57206202083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No171000000XOther Service ProvidersMilitary Health Care Provider
No1744R1102XOther Service ProvidersSpecialistResearch Study
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program