Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35086012M | OH |
Y | 111NI0900X | Internist | 35086012M | OH |
NPI | 1003800756 |
---|---|
Provider Name | Sorina M Macavei |
First Address | Cincinnati, OH 45255-3721 |
Second Address | Cincinnati, OH 45255-3721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 14/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2617387 | (05) | OH |
I38026 | (02) |