MEDICARE: DRAGOS L. POPESCU 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
1	207R00000X	Internal Medicine Physician	D0064369	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	166058	OTHER	MD	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	01334932	OTHER	MD	AMERIGROUP
3	S937 0001	OTHER	DC	CAREFIRST
4	418488200	OTHER	MD	MEDICAL ASSISTANCE
5	D6XGD 93275202	OTHER	MD	CAREFIRST

General Provider Information

NPI Number	:	1518000991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DRAGOS L. POPESCU M.D.

Provider Business Mailing Address
First Line	:	10845 PHILADELPHIA RD
Second Line	:
City	:	WHITE MARSH
State	:	MD
Zip	:	21162-1717
Country	:	US
Telephone Number	:	410-335-0008
Fax Number	:	410-335-3113

Provider Business Practice Location Address
First Line	:	8109 HARFORD RD
Second Line	:	SUITE B
City	:	PARKVILLE
State	:	MD
Zip	:	21234-9205
Country	:	US
Telephone Number	:	410-882-2648
Fax Number	:	410-663-0507

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	03/22/2011

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Directions to “ DRAGOS L. POPESCU M.D.” Practice Location

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