Individual
DR. TOMA RADUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
607 S. GENERALS BLVX, LINCOLNTON, NC 28092-2717
(704) 736-9188
(704) 736-9667
Mailing address
P.O. BOX 70, LINCOLNTON, NC 28093
(704) 736-9188
(704) 736-9667
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301063557
MI
207R00000X
Internal Medicine Physician
Primary
9700719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1066Y
BLUE CROSS
—
01
—
1102477226
RAILROAD MEDICARE
—
05
—
891066Y
—
NC
01
—
C3175
MEDCOST
—
01
—
MB08
PRIMARY PHYSICIAN CARE
—
Enumeration date
07/29/2005
Last updated
02/21/2017
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