Bogdan Manuel Iliescu, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

D61706 Issued in MD

Practice address

22 S Greene St
Room N2E23
Baltimore, MD 21201-1544

Phone

(410) 328-5656

Fax

(410) 328-2115

NPI assigned

Jul 10, 2006

Last updated

Mar 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1245245307

  Vascular & Interventional Radiology

  NPD (past)
• University Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1992511265

  Vascular & Interventional Radiology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1437182466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17383",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212971383",
            "telephone_number": "410-328-5656",
            "fax_number": "410-328-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "ROOM N2E23",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-5656",
            "fax_number": "410-328-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILIESCU",
        "first_name": "BOGDAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D61706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405055000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stella Ikpe, FNP
• Prosper Ikenna Ikpeama
• Ololade Ikuomola, NP-C
• Stephanie Ikwueme
• Yvette Ilechie
• Nicholas Iliff, M.D.
• Peter Illei, M.D.
• Rebecca Jean Illingworth
• Illuminate Pediatric Therapies LLC
• Illuminated Direction LLC

• Vascular & Interventional Radiology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Vascular & Interventional Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.