Provider Demographics
NPI:1457444119
Name:TOTOIAN, DORU A (MD)
Entity Type:Individual
Prefix:
First Name:DORU
Middle Name:A
Last Name:TOTOIAN
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 1:2510 NW EDENBOWER BLVD
Mailing Address - Street 2:SUITE 176
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-8899
Mailing Address - Country:US
Mailing Address - Phone:541-673-2254
Mailing Address - Fax:541-672-3952
Practice Address - Street 1:2510 NW EDENBOWER BLVD
Practice Address - Street 2:SUITE 176
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-8899
Practice Address - Country:US
Practice Address - Phone:541-673-2254
Practice Address - Fax:541-672-3952
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD24774207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
R142412Medicare PIN
R142413Medicare PIN