Provider Demographics
NPI:1043328057
Name:NAILESCU, CORINA (MD)
Entity type:Individual
Prefix:
First Name:CORINA
Middle Name:
Last Name:NAILESCU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 1026
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-1026
Mailing Address - Country:US
Mailing Address - Phone:317-777-6435
Mailing Address - Fax:317-777-6644
Practice Address - Street 1:705 RILEY HOSPITAL DR
Practice Address - Street 2:RR 230
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5109
Practice Address - Country:US
Practice Address - Phone:317-274-2563
Practice Address - Fax:317-278-3599
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2021-01-18
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Provider Licenses
StateLicense IDTaxonomies
IN010582232080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100317120Medicaid
IN200474130Medicaid
IN200474130Medicaid
I16211Medicare UPIN