Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | E-4328 | AR |
N | 208000000X | Pediatrician | MD60465754 | WA |
N | 2084N0400X | Neurologist | E-4328 | AR |
N | 2084N0400X | Neurologist | MD60465754 | WA |
Y | 2084N0402X | Child Neurologist | 048575 | CT |
N | 2084N0402X | Child Neurologist | E-4328 | AR |
N | 2084N0402X | Child Neurologist | MD60465754 | WA |
NPI | 1043300544 |
---|---|
Provider Name | Cristian Ionita |
First Address | Seattle, WA 98105-3901 |
Second Address | Hartford, CT 06106-3322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 05/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
158325001 | (05) | AR |
I32481 | (02) |