Provider Demographics
NPI:1518000991
Name:POPESCU, DRAGOS L (MD)
Entity Type:Individual
Prefix:
First Name:DRAGOS
Middle Name:L
Last Name:POPESCU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10845 PHILADELPHIA RD
Mailing Address - Street 2:
Mailing Address - City:WHITE MARSH
Mailing Address - State:MD
Mailing Address - Zip Code:21162-1717
Mailing Address - Country:US
Mailing Address - Phone:410-335-0008
Mailing Address - Fax:410-335-3113
Practice Address - Street 1:8109 HARFORD RD
Practice Address - Street 2:SUITE B
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234-9205
Practice Address - Country:US
Practice Address - Phone:410-882-2648
Practice Address - Fax:410-663-0507
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064369207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD166058OtherMEDICARE
MD01334932OtherAMERIGROUP
DCS937 0001OtherCAREFIRST
MD418488200OtherMEDICAL ASSISTANCE
MDD6XGD 93275202OtherCAREFIRST
DCS937 0001OtherCAREFIRST