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NPI Code Detail

MEDICARE: LIVIU E POP MD

MEDICARE: LIVIU E POP 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
12085R0202XDiagnostic Radiology Physician200401112NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00183864OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1D7728OTHERNCMEDCOST
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700887247
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIVIU E POP MD
Provider Business Mailing Address
First Line : 1331 N ELM ST STE 200
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-6304
Country : US
Telephone Number : 336-274-9617
Fax Number : 336-482-2177
Provider Business Practice Location Address
First Line : 1331 N ELM ST STE 200
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-6304
Country : US
Telephone Number : 336-274-9617
Fax Number : 336-482-2177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 06/24/2016

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Directions to “ LIVIU E POP MD” Practice Location

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