Provider Demographics
NPI:1346234762
Name:CALTARU, DANIELA (MD)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:CALTARU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8918
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85252-8918
Mailing Address - Country:US
Mailing Address - Phone:480-429-9200
Mailing Address - Fax:480-429-9225
Practice Address - Street 1:7331 E OSBORN DR
Practice Address - Street 2:SUITE # 180
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6435
Practice Address - Country:US
Practice Address - Phone:480-429-9200
Practice Address - Fax:480-429-9225
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29279204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ 0767730OtherBLUE CROSS BLUE SHIELD
AZ578859Medicaid
AZ107021Medicare ID - Type Unspecified
AZAZ 0767730OtherBLUE CROSS BLUE SHIELD
AZP00201207Medicare ID - Type UnspecifiedMEDICARE RAILROAD
AZ578859Medicaid