Provider Demographics
NPI:1649084310
Name:BUGARIU, SANDRA (PA-C)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:BUGARIU
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 COLLEGE PARK AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45469-0001
Mailing Address - Country:US
Mailing Address - Phone:937-229-1000
Mailing Address - Fax:
Practice Address - Street 1:904 SCIOTO ST
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-2226
Practice Address - Country:US
Practice Address - Phone:937-484-6680
Practice Address - Fax:937-484-6699
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant