Provider Demographics
NPI:1427150663
Name:RASCANU, ADRIANA ELISE (DO)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:ELISE
Last Name:RASCANU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26360 W CEDAR NILES CIR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7477
Mailing Address - Country:US
Mailing Address - Phone:248-910-4519
Mailing Address - Fax:
Practice Address - Street 1:26360 W CEDAR NILES CIR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7477
Practice Address - Country:US
Practice Address - Phone:248-910-4519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008024823202K00000X
MO2004012105208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No202K00000XAllopathic & Osteopathic PhysiciansPhlebology