Provider Demographics
NPI:1447328919
Name:NAUMESCU SHIRLEY, IOANA (MD)
Entity type:Individual
Prefix:DR
First Name:IOANA
Middle Name:
Last Name:NAUMESCU SHIRLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:IOANA
Other - Middle Name:M
Other - Last Name:NAUMESCU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3525 S BROOKWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2809
Mailing Address - Country:US
Mailing Address - Phone:205-249-5369
Mailing Address - Fax:
Practice Address - Street 1:103 BLUE LAKE DRIVE
Practice Address - Street 2:SUITE 103
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2874
Practice Address - Country:US
Practice Address - Phone:205-249-5369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00021752174400000X
NY3074402084P0804X
AL217522084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51533049OtherBLUE CROSS BLUE SHIELD