Provider Demographics
NPI:1427144617
Name:OPRESCU, NICOLAE (MD)
Entity type:Individual
Prefix:
First Name:NICOLAE
Middle Name:
Last Name:OPRESCU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 BURNET AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3019
Mailing Address - Country:US
Mailing Address - Phone:513-585-9009
Mailing Address - Fax:513-585-9373
Practice Address - Street 1:151 W GALBRAITH RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45216-1015
Practice Address - Country:US
Practice Address - Phone:513-418-2639
Practice Address - Fax:513-418-2516
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040558207R00000X
OH35-088895207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8288326OtherCHPW
911019392OtherCOMMERCIAL
WA9110OPOtherREGENCE
WA8288326Medicaid
WA154151OtherL & I
27283OtherGROUP HEALTH
27283OtherGROUP HEALTH
911019392OtherCOMMERCIAL
WA154151OtherL & I
H54527Medicare UPIN