Provider Demographics
NPI:1255308326
Name:VORONA, ROBERT DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:DANIEL
Last Name:VORONA
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:PO BOX 751461
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1461
Mailing Address - Country:US
Mailing Address - Phone:843-792-6200
Mailing Address - Fax:
Practice Address - Street 1:171 ASHLEY AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-1005
Practice Address - Country:US
Practice Address - Phone:843-792-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101039472207R00000X, 207RC0200X, 207RP1001X, 207RS0012X
SC51739207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB07641Medicare UPIN
VA110007567Medicare PIN
VA110197653Medicare PIN
VAPAROtherUSA MANAGED CARE
VAB07641Medicare UPIN
VAPAROtherMULTIPLAN
VA005832705Medicaid
VA110007567Medicare PIN
VA22724OtherSENTARA OPTIMA
NC0609QOtherNC BC/BS
VA265444OtherANTHEM
VAPAROtherVIRGINIA HEALTH NETWORK
NC790609QMedicaid
VAPAROtherCORVEL/CORCARE
VAPAROtherCIGNA
2102675OtherUHC/MAMSI
VA110197653Medicare PIN
VA-037OtherTRICARE/CHAMPUS