Provider Demographics
NPI:1396024741
Name:BOIANGIU, ADRIANA-MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA-MARIA
Middle Name:
Last Name:BOIANGIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ADRIANA-MARIA
Other - Middle Name:
Other - Last Name:BOIANGIU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5240 E KNIGHT DR
Mailing Address - Street 2:STE 120
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2122
Mailing Address - Country:US
Mailing Address - Phone:520-795-0309
Mailing Address - Fax:520-795-2030
Practice Address - Street 1:5240 E KNIGHT DR
Practice Address - Street 2:STE 120
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2122
Practice Address - Country:US
Practice Address - Phone:520-795-0309
Practice Address - Fax:520-795-2030
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012499452084P0800X
AZ453412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ148770Medicare UPIN