Provider Demographics
NPI:1225665623
Name:ONLINEVISIT LLC
Entity Type:Organization
Organization Name:ONLINEVISIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:RADU
Authorized Official - Middle Name:H
Authorized Official - Last Name:TEODORESCU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-215-4939
Mailing Address - Street 1:2024 SW HOWARDS WAY APT 501
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-7726
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2024 SW HOWARDS WAY APT 501
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97201-7726
Practice Address - Country:US
Practice Address - Phone:503-206-4543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service