Provider Demographics
NPI:1164424214
Name:BUJOI, MIHAELA (MD)
Entity Type:Individual
Prefix:DR
First Name:MIHAELA
Middle Name:
Last Name:BUJOI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MIHAELA
Other - Middle Name:
Other - Last Name:BUMBAC OR TEBEICA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:502 ELM ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2512
Mailing Address - Country:US
Mailing Address - Phone:505-841-1000
Mailing Address - Fax:505-843-2956
Practice Address - Street 1:502 ELM STREET NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102
Practice Address - Country:US
Practice Address - Phone:505-841-1000
Practice Address - Fax:505-843-2592
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2003-0730207RC0000X, 207UN0901X
NMMD2003-0730207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM2003-0730OtherNEW MEXICO MD LICENSE
NMMD2003-0730OtherNM MD LICENSE
NM1987551Medicaid
NM2003-0730OtherNEW MEXICO MD LICENSE
NM1987551Medicaid