Provider Demographics
NPI:1699939488
Name:MANIU, ADINA (MD)
Entity type:Individual
Prefix:
First Name:ADINA
Middle Name:
Last Name:MANIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ADINA
Other - Middle Name:
Other - Last Name:DUMITRESCU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:250 W PRATT ST
Mailing Address - Street 2:SUITE 880
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-2423
Mailing Address - Country:US
Mailing Address - Phone:667-214-1302
Mailing Address - Fax:410-328-3379
Practice Address - Street 1:419 W REDWOOD ST
Practice Address - Street 2:SUITE 500
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1734
Practice Address - Country:US
Practice Address - Phone:667-214-1300
Practice Address - Fax:410-328-2648
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101246208207V00000X
MDD0078977207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5912954Medicaid
VAPAROtherCIGNA
VAPAROtherUNITED HEALTH CARE/MAMSI
VAPAROtherVA PREMIER HEALTH
VAPAROtherAETNA
VA-010OtherTRICARE/CHAMPUS
VAPAROtherVA HEALTH NETWORK
VA377843OtherANTHEM BC/BS
VA10049926OtherSENTARA OPTIMA HEALTH
VA1699939488Medicaid
VAPAROtherUSA MANAGED CARE
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY HEALTH
VA877845OtherANTHEM BC/BS
VAPAROtherMULTIPLAN
MD424186000Medicaid
VAPAROtherCORVEL/CORCARE
VAPAROtherAETNA
NC5912954Medicaid