Provider Demographics
NPI:1992900088
Name:POP, AURORA JULIANA (MD)
Entity type:Individual
Prefix:DR
First Name:AURORA
Middle Name:JULIANA
Last Name:POP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AURORA
Other - Middle Name:JULIANA
Other - Last Name:CANLAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7068
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-0068
Mailing Address - Country:US
Mailing Address - Phone:757-686-3508
Mailing Address - Fax:757-686-0541
Practice Address - Street 1:1168 FIRST COLONIAL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-2444
Practice Address - Country:US
Practice Address - Phone:757-352-2020
Practice Address - Fax:757-352-2021
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266886207Q00000X
VA0101246774207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
NY331947Medicare Oscar/Certification
NY00695941Medicaid