Provider Demographics
NPI:1225211584
Name:RADULESCU, DRAGOS ADRIAN (MD)
Entity Type:Individual
Prefix:
First Name:DRAGOS
Middle Name:ADRIAN
Last Name:RADULESCU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 E 25TH ST
Mailing Address - Street 2:518
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3825
Mailing Address - Country:US
Mailing Address - Phone:305-696-7900
Mailing Address - Fax:305-696-7131
Practice Address - Street 1:777 E 25TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3825
Practice Address - Country:US
Practice Address - Phone:305-696-7900
Practice Address - Fax:305-696-7131
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME73655207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00214251OtherRAILROAD MEDICARE
FLG64808Medicare UPIN
FL41975AMedicare PIN