Provider Demographics
NPI:1366473522
Name:CIOBOTEA, MIHAELA S (MD)
Entity Type:Individual
Prefix:
First Name:MIHAELA
Middle Name:S
Last Name:CIOBOTEA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MIHAELA
Other - Middle Name:S
Other - Last Name:BALAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:308 S ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-2717
Mailing Address - Country:US
Mailing Address - Phone:704-736-9188
Mailing Address - Fax:704-736-9667
Practice Address - Street 1:308 S ACADEMY ST
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-2717
Practice Address - Country:US
Practice Address - Phone:704-736-9188
Practice Address - Fax:704-736-9667
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCI2047090Medicare UPIN
NC2047090Medicare ID - Type Unspecified