Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 33073 | AZ |
N | 111NI0900X | Internist | 33073 | AZ |
Y | 207RI0200X | Infectious Disease | 33073 | AZ |
NPI | 1063478121 |
---|---|
Provider Name | Dr. Voichita E. Ianas |
First Address | Phoenix, AZ 85016-3990 |
Second Address | Phoenix, AZ 85032-3399 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 19/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
871097 | (05) | AZ |
I09348 | (02) | AZ |