Provider Demographics
NPI:1457445058
Name:SEGAL, RADU ADRIAN (MD/MPH)
Entity Type:Individual
Prefix:DR
First Name:RADU
Middle Name:ADRIAN
Last Name:SEGAL
Suffix:
Gender:M
Credentials:MD/MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 NW 16TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-4012
Mailing Address - Country:US
Mailing Address - Phone:352-727-4641
Mailing Address - Fax:352-727-7416
Practice Address - Street 1:806 NW 16TH AVE STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-4012
Practice Address - Country:US
Practice Address - Phone:352-727-4641
Practice Address - Fax:352-727-7416
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME124277207Q00000X, 207Q00000X
MO2007018556208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL019653300Medicaid