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1447247788

NPI Code Detail

MEDICARE: OLIMPIA A RADU MD

MEDICARE: OLIMPIA A RADU MD

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
1	207R00000X	Internal Medicine Physician	MD17805	RI
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD17805	RI
3	207RP1001X	Pulmonary Disease Physician	MD17805	RI
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	MD17805	RI
5	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	MD17805	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010040566CT01	OTHER		BLUE SHIELD OF CT
2	040566	OTHER		CONNECTICARE
3	8166941	OTHER		CIGNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	CT040566	OTHER		UNITED HEALTHCARE
6	P2754775	OTHER		OXFORD HEALTH PLAN
7	2V2434	OTHER		HEALTHNET
8	3341768	OTHER		AETNA

General Provider Information

NPI Number	:	1447247788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIMPIA A RADU MD

Provider Business Mailing Address
First Line	:	110 ELM ST
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02903-4626
Country	:	US
Telephone Number	:	401-448-4992
Fax Number	:	401-537-7241

Provider Business Practice Location Address
First Line	:	375 WAMPANOAG TRL
Second Line	:
City	:	RIVERSIDE
State	:	RI
Zip	:	02915-2232
Country	:	US
Telephone Number	:	401-649-4050
Fax Number	:	401-649-4051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	08/24/2023

Similar Medicare Providers

1578550265 — DR. JAMES MYERS MD
Practice Location Address:

375 WAMPANOAG TRL
RIVERSIDE, RI
02915-2232

Practice Phone: 401-649-4070
Practice Fax: 401-649-4071

1346237039 — DR. RONALD GILMAN MD
Practice Location Address:

375 WAMPANOAG TRL
RIVERSIDE, RI
02915-2232

Practice Phone: 401-649-4070
Practice Fax: 401-649-4071

1124015813 — DR. PETER KARCZMAR MD
Practice Location Address:

375 WAMPANOAG TRL
RIVERSIDE, RI
02915-2232

Practice Phone: 401-649-4070
Practice Fax: 401-649-4071

1871583997 — DR. JIE TANG MD, MS, MPH
Practice Location Address:

375 WAMPANOAG TRL , SUITE 302A
RIVERSIDE, RI
02915-2232

Practice Phone: 401-649-4060
Practice Fax: 401-649-4061

1710960489 — MS. MARIANNE V HURLEY NP
Practice Location Address:

375 WAMPANOAG TRL
RIVERSIDE, RI
02915-2232

Practice Phone: 401-649-4010
Practice Fax: 401-649-4011

1174588875 — JEANNE MARIE KNIGHT NP
Practice Location Address:

375 WAMPANOAG TRL
RIVERSIDE, RI
02915-2232

Practice Phone: 401-649-4000
Practice Fax: 401-649-4011

Directions to “ OLIMPIA A RADU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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