Individual
RADIAN I FLOREA
Active
Individual
RADIAN I FLOREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
049171
GA
207R00000X
Internal Medicine Physician
Primary
41259
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00895881B
—
GA
01
—
4084448
BCBS OF TENNESSEE
TN
01
—
52676663
BCBS OF GEORGIA
GA
01
—
7622393
AETNA
GA
Enumeration date
08/25/2005
Last updated
11/02/2017
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