Provider Demographics
NPI:1174732168
Name:CONSTANTIN, RODICA (MD)
Entity type:Individual
Prefix:
First Name:RODICA
Middle Name:
Last Name:CONSTANTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RODICA
Other - Middle Name:VASILICA
Other - Last Name:POPA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10287 JAMAPA DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-4028
Mailing Address - Country:US
Mailing Address - Phone:410-371-0923
Mailing Address - Fax:
Practice Address - Street 1:10287 JAMAPA DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-4028
Practice Address - Country:US
Practice Address - Phone:410-371-0923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361259622080N0001X
NV150172080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine