Provider Demographics
NPI:1972685170
Name:TURACOVA, DANIELA (MD)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:TURACOVA
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 1:525 TAUNTON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-1603
Mailing Address - Country:US
Mailing Address - Phone:401-438-0888
Mailing Address - Fax:401-438-0828
Practice Address - Street 1:525 TAUNTON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1603
Practice Address - Country:US
Practice Address - Phone:401-438-0888
Practice Address - Fax:401-438-0828
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI10178207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIDT50965Medicaid
RIDT50965Medicaid