Provider Demographics
NPI:1427065994
Name:NEAGU, CRISTIAN (DPM)
Entity type:Individual
Prefix:
First Name:CRISTIAN
Middle Name:
Last Name:NEAGU
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 W TENNYSON RD
Mailing Address - Street 2:# 3
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-4454
Mailing Address - Country:US
Mailing Address - Phone:510-732-1566
Mailing Address - Fax:510-732-1515
Practice Address - Street 1:1191 W TENNYSON RD
Practice Address - Street 2:NO3
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-4454
Practice Address - Country:US
Practice Address - Phone:559-783-1181
Practice Address - Fax:559-783-2084
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE 4218213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
000E42180Medicare ID - Type Unspecified
U96817Medicare UPIN