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NPI Code Detail

MEDICARE: RADIAN I FLOREA M.D.

MEDICARE: RADIAN I FLOREA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician049171GA
2207R00000XInternal Medicine Physician41259TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27622393OTHERGAAETNA
34084448OTHERTNBCBS OF TENNESSEE
452676663OTHERGABCBS OF GEORGIA

General Provider Information

NPI Number : 1285627265
Entity Type Code : Individual
Provider Name (Legal Business Name) : RADIAN I FLOREA M.D.
Provider Business Mailing Address
First Line : 100 GROSS CRESCENT CIR
Second Line :
City : FT OGLETHORPE
State : GA
Zip : 30742-3643
Country : US
Telephone Number : 706-858-2101
Fax Number :
Provider Business Practice Location Address
First Line : 2525 DESALES AVE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-1161
Country : US
Telephone Number : 423-495-7404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 11/02/2017

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Directions to “ RADIAN I FLOREA M.D.” Practice Location

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