Provider Demographics
NPI:1215991047
Name:BINA, IOANA ANCA (MD)
Entity type:Individual
Prefix:DR
First Name:IOANA
Middle Name:ANCA
Last Name:BINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 685
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94573-0685
Mailing Address - Country:US
Mailing Address - Phone:707-963-3322
Mailing Address - Fax:707-963-3311
Practice Address - Street 1:1400 OAK AVE
Practice Address - Street 2:
Practice Address - City:SAINT HELENA
Practice Address - State:CA
Practice Address - Zip Code:94574-1834
Practice Address - Country:US
Practice Address - Phone:707-963-3322
Practice Address - Fax:707-819-3078
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85304207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI25875Medicare UPIN