Provider Demographics
NPI:1952519118
Name:POPESCU, ANDRA MIRELA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDRA
Middle Name:MIRELA
Last Name:POPESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4512 KIRKWOOD HWY
Mailing Address - Street 2:STE 202
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5122
Mailing Address - Country:US
Mailing Address - Phone:302-993-7890
Mailing Address - Fax:302-993-7894
Practice Address - Street 1:4512 KIRKWOOD HWY STE 202
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5122
Practice Address - Country:US
Practice Address - Phone:302-993-7890
Practice Address - Fax:302-993-7894
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10009702207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE200047993Medicaid