Provider Demographics
NPI:1134437627
Name:DANIELA TURACOVA MD
Entity type:Organization
Organization Name:DANIELA TURACOVA MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURACOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-438-0888
Mailing Address - Street 1:525 TAUNTON AVENUE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-1604
Mailing Address - Country:US
Mailing Address - Phone:401-438-0888
Mailing Address - Fax:
Practice Address - Street 1:525 TAUNTON AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-1604
Practice Address - Country:US
Practice Address - Phone:401-438-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD11232207RI0200X
RIMD10178207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI3018OtherNEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND
RI26809OtherBLUE CROSS BLUE SHIELD
RI406571OtherBLUE CROSS BLUE SHIELD BLUE CHIP
RI0402865OtherUNITED HEALTH CARE OF NEW ENGLAND
RI2381514OtherAETNA
RIDT50965Medicaid
RIAA168221OtherHARVARD PILGRIM HEALTH
RI323616OtherTUFTS HEALTH PLAN
RIAA168221OtherHARVARD PILGRIM HEALTH
RI323616OtherTUFTS HEALTH PLAN