Individual
DANIELA RUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
3475 LENOX RD NE, SUITE 655, ATLANTA, GA 30326-3227
(404) 478-8785
(866) 782-3143
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
063124
GA
207L00000X
Anesthesiology Physician
35472
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441337
—
IA
01
—
245516
MIDLANDS CHOICE
IA
01
—
37038
BLUE CROSS BLUE SHIELD
IA
01
—
P00158897
RAILROAD MEDICARE
IA
Enumeration date
05/20/2006
Last updated
03/15/2021
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