Provider Demographics
NPI:1508074188
Name:MORAR, DORIANA FILIA (MD)
Entity Type:Individual
Prefix:
First Name:DORIANA
Middle Name:FILIA
Last Name:MORAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DORIANA
Other - Middle Name:FILIA
Other - Last Name:SEGHEDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:178 KNOLLRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02896-8129
Mailing Address - Country:US
Mailing Address - Phone:401-762-4982
Mailing Address - Fax:
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:APC-9, SUITE 970
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-3418
Practice Address - Fax:401-444-3492
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD122702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI33423-7OtherBCBS RI
RI414714OtherBLUECHIP
RIJMD12270OtherMEDICAL LICENSE
RIDM68085Medicaid
RI269005535Medicare PIN