Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-071140 | OH |
N | 111NI0900X | Internist | 35-071140 | OH |
N | 207RC0200X | Critical Care Medicine | 35-071140 | OH |
N | 207RP1001X | Pulmonary Disease | 35-071140 | OH |
Y | 207RS0012X | Sleep Medicine | 35.071140 | OH |
NPI | 1326005877 |
---|---|
Provider Name | Victoria Surdulescu |
First Address | Middletown, OH 45042 |
Second Address | Middletown, OH 45042-3807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200431950 | (05) | IN |
2077318 | (05) | OH |
64073836 | (05) | KY |
G57938 | (02) | |
P00346961 | RAIL ROAD MEDICARE (01) | OH |