Provider Demographics
NPI:1992796684
Name:RADUCAN, VIOREL (MD)
Entity type:Individual
Prefix:
First Name:VIOREL
Middle Name:
Last Name:RADUCAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 MEDICAL CENTER DRIVE
Mailing Address - Street 2:SUITE G500
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701
Mailing Address - Country:US
Mailing Address - Phone:304-691-1262
Mailing Address - Fax:304-691-1666
Practice Address - Street 1:1600 MEDICAL CENTER DRIVE
Practice Address - Street 2:SUITE G500
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701
Practice Address - Country:US
Practice Address - Phone:304-691-1262
Practice Address - Fax:304-691-1666
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV25703207X00000X, 207XS0117X, 207XP3100X
OH35-098098207XS0117X
IL036103789207X00000X
RI13998207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM86793OtherPRESBYTERIAN COMMERCIAL
NM86793Medicaid
TX142128101Medicaid
OK200050090AMedicaid
TX8J8822OtherBC/BS
KS1992796684OtherBCBS OF KANSAS
NM35833858Medicaid
TX87870ZOtherHMO BLUE
TX8BZ392OtherBCBS
TXP00784420OtherRAILROAD MEDICARE
TX142128100OtherFIRSTCARE COMMERCIAL
TX171669804Medicaid
OK200050090AMedicaid
NM86793OtherPRESBYTERIAN COMMERCIAL
TX171669804Medicaid
KS003768040Medicare PIN
OHH056310Medicare PIN
TXG07541Medicare UPIN