1962405746 NPI number — DR. MIHAELA ONCIU MD

Table of content: DR. MIHAELA ONCIU MD (NPI 1962405746)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962405746 NPI number — DR. MIHAELA ONCIU MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ONCIU
Provider First Name:
MIHAELA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962405746
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3495 HACKS CROSS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEMPHIS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38125-8803
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-526-7444
Provider Business Mailing Address Fax Number:
901-526-0791

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3495 HACKS CROSS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-526-7444
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/24/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZH0000X , with the licence number:  35294 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0101X , with the licence number: 35294 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 104763286 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5440451 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00124272 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7613148 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009936359 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0547174 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0063525 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1185469 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200377050 , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0149515 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 205365109 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 422400000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 64036486 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 143757001 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 57770875 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 715394 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".




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