| Ileana Deftu Pc | |
|
325 W Liberty St Reno NV 89501-2011 | |
| (888) 707-3335 | |
| (800) 707-6449 |
| Full Name | Ileana Deftu Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 325 W Liberty St, Reno, Nevada |
| Authorized Official Name and Position | Ileana C Deftu (OWNER) |
| Authorized Official Contact | 7752337116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ileana Deftu Pc Po Box 50873 Sparks NV 89435-0873 Ph: (888) 707-3335 | Ileana Deftu Pc 325 W Liberty St Reno NV 89501-2011 Ph: (888) 707-3335 |
| NPI Number | 1881001402 |
|---|---|
| Provider Enumeration Date | 07/15/2014 |
| Last Update Date | 05/11/2023 |
| Medicare PECOS PAC ID | 4981822103 |
|---|---|
| Medicare Enrollment ID | O20140902000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881001402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12431 (Nevada) | Primary |
| Provider Name | Mary M Maul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336100676 PECOS PAC ID: 3678587508 Enrollment ID: I20060131000452 |
| Provider Name | Ileana C Deftu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356568711 PECOS PAC ID: 6103919634 Enrollment ID: I20070829000591 |
| Provider Name | Angela Louise Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134480247 PECOS PAC ID: 2365698800 Enrollment ID: I20120815000710 |
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