Healthcare Provider Details

I. General information

NPI: 1518000991
Provider Name (Legal Business Name): DRAGOS L. POPESCU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 03/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8109 HARFORD RD SUITE B
PARKVILLE MD
21234-9205
US

IV. Provider business mailing address

10845 PHILADELPHIA RD
WHITE MARSH MD
21162-1717
US

V. Phone/Fax

Practice location:
  • Phone: 410-882-2648
  • Fax: 410-663-0507
Mailing address:
  • Phone: 410-335-0008
  • Fax: 410-335-3113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0064369
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: