Individual
OANA M PETCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806-3842
(225) 387-7070
(225) 387-7700
Mailing address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806
(225) 387-7070
(225) 372-3717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200732
LA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD.200732
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326086083
NPI
LA
05
—
1502685
—
LA
01
—
P00406732
RAILROAD
LA
Enumeration date
06/03/2006
Last updated
08/23/2017
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