Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 29482 | KY |
N | 207QA0505X | Family Doctor - Adult Medicine | 180194 | NY |
Y | 207V00000X | Obstetrician & Gynecologist | 180194 | NY |
N | 207V00000X | Obstetrician & Gynecologist | 29482 | KY |
NPI | 1225240682 |
---|---|
Provider Name | Dr. Viorel Boborodea |
First Address | Dallas, TX 75244-5071 |
Second Address | Dallas, TX 75244-5071 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2007 |
Last Update Date | 26/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100059790 | (05) | KY |