Provider Demographics
NPI:1730447418
Name:MIHAELA IOVANEL, MD INC.
Entity type:Organization
Organization Name:MIHAELA IOVANEL, MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIHAELA
Authorized Official - Middle Name:
Authorized Official - Last Name:IOVANEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-658-0511
Mailing Address - Street 1:175 NATE WHIPPLE HWY
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-1416
Mailing Address - Country:US
Mailing Address - Phone:401-658-0511
Mailing Address - Fax:
Practice Address - Street 1:175 NATE WHIPPLE HWY STE 208
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-1427
Practice Address - Country:US
Practice Address - Phone:401-658-0511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI09487207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G51549Medicare UPIN