Individual
ANCA VALERIA ILIESCU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 CAMPUS BLVD, SUITE 200, WINCHESTER, VA 22601
(540) 662-0306
(540) 662-5845
Mailing address
190 CAMPUS BLVD, SUITE 200, WINCHESTER, VA 22601
(540) 662-0306
(540) 662-5845
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101238812
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008700W85
VA MEDICARE B
—
01
—
10000231
SENTARA PROFESSIONAL
—
01
—
1769859
WV BLUE SHIELD
—
01
—
184119
ANTHEM PROFESSIONAL
—
01
—
2138989
MAMSI PROFESSIONAL
—
01
—
3810004142
WELFARE MEDICAID
WV
01
—
C00085
VA MEDICARE B GROUP
—
Enumeration date
04/25/2006
Last updated
07/08/2007
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