Provider Demographics
NPI:1326435512
Name:NOROV, RADA (MD)
Entity Type:Individual
Prefix:DR
First Name:RADA
Middle Name:
Last Name:NOROV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 FURROW LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-3410
Mailing Address - Country:US
Mailing Address - Phone:215-971-0581
Mailing Address - Fax:
Practice Address - Street 1:1911 AVENUE L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5002
Practice Address - Country:US
Practice Address - Phone:718-859-3499
Practice Address - Fax:718-377-2250
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-25
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295209207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine