Healthcare Provider Details

I. General information

NPI: 1912994419
Provider Name (Legal Business Name): AURELIA RADULESCU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UK PEDIATRIC SPECIALTY CLINICS 740 S LIMESTONE STE K201
LEXINGTON KY
40536-0001
US

IV. Provider business mailing address

UNIVERSITY OF KENTUCKY DEPT OF PEDIATRICS KENTUCKY CLINIC, ROOM J450
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-218-2509
  • Fax: 859-323-3499
Mailing address:
  • Phone: 859-323-5481
  • Fax: 859-257-7706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number36910
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code2080B0002X
TaxonomyPediatric Obesity Medicine Physician
License Number36910
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: