Provider Demographics
NPI:1497780787
Name:MINDRU, CEZARINA (MD)
Entity Type:Individual
Prefix:DR
First Name:CEZARINA
Middle Name:
Last Name:MINDRU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CEZARINA
Other - Middle Name:
Other - Last Name:MINDRU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2002 HOLCOMBE BLVD
Mailing Address - Street 2:INFECTIOUS DISEASE DIVISION , 111G 4B/370
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4211
Mailing Address - Country:US
Mailing Address - Phone:713-794-7384
Mailing Address - Fax:713-794-7045
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:INFECTIOUS DISEASE DIVISION , 111G 4B/370
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-794-7384
Practice Address - Fax:713-794-7045
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT039819207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H64025Medicare UPIN