Provider Demographics
NPI:1841276458
Name:PAPADOPOL, RALUCA (MD)
Entity type:Individual
Prefix:MS
First Name:RALUCA
Middle Name:
Last Name:PAPADOPOL
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 1:160 W GERMANTOWN PIKE STE D2
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1386
Mailing Address - Country:US
Mailing Address - Phone:610-277-6400
Mailing Address - Fax:610-275-8861
Practice Address - Street 1:160 W GERMANTOWN PIKE STE D2
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401
Practice Address - Country:US
Practice Address - Phone:610-277-6400
Practice Address - Fax:610-275-8861
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAME103012208000000X
FLME103012208000000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033801940004Medicaid
PA1033801940003Medicaid
PAME103012OtherMEDICAL LISCENSE
PAFP1373618OtherDEA