Active NPI
Michael Iliescu
- Forensic Pathology Physician
- Chandler, AZ
National Provider Identifier
1265881312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- 28416
- Practice address
- 2276 W Periwinkle Way
Chandler, AZ 85248-4180 - Phone
- (480) 786-4256
- NPI assigned
- Jun 9, 2016
- Last updated
- Jun 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 28416 | AZ | Primary |
Addresses
Primary practice location
2276 W Periwinkle Way
Chandler, AZ 85248-4180
Mailing address
2276 W Periwinkle Way
Chandler, AZ 85248-4180
Phone (480) 786-4256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28416 | AZ | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1265881312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2276 W PERIWINKLE WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852484180",
"telephone_number": "480-786-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2276 W PERIWINKLE WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852484180",
"telephone_number": "480-786-4256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILIESCU",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "AZ",
"license": "28416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.