Provider Demographics
NPI:1932192309
Name:CROITORU, MIHAI (MD FACC)
Entity Type:Individual
Prefix:DR
First Name:MIHAI
Middle Name:
Last Name:CROITORU
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 NORTHLINE AVENUE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7619
Mailing Address - Country:US
Mailing Address - Phone:336-273-7900
Mailing Address - Fax:336-482-3517
Practice Address - Street 1:3200 NORTHLINE AVENUE
Practice Address - Street 2:SUITE 250
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7619
Practice Address - Country:US
Practice Address - Phone:336-273-7900
Practice Address - Fax:336-482-3517
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC27362207RC0000X
NC201002093207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5916402Medicaid
SC273625Medicaid
NC5916402Medicaid
SCH47179Medicare UPIN
SC273625Medicaid