Provider Demographics
NPI:1992706188
Name:ROSCA-SICHITIU, RALUCA CRISTINA (MD)
Entity type:Individual
Prefix:DR
First Name:RALUCA
Middle Name:CRISTINA
Last Name:ROSCA-SICHITIU
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 1:303 E MATTHEWS AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-3120
Mailing Address - Country:US
Mailing Address - Phone:870-207-7555
Mailing Address - Fax:870-336-5083
Practice Address - Street 1:303 E MATTHEWS AVE STE 202
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-3120
Practice Address - Country:US
Practice Address - Phone:870-207-7555
Practice Address - Fax:870-336-5083
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336-074905207RG0300X
ARE-6037207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR181544001Medicaid
IL036109977Medicaid
ILK19158Medicare UPIN
AR181544001Medicaid