Provider Demographics
NPI:1093778920
Name:SESCIOREANU, MIHAELA (MD)
Entity type:Individual
Prefix:
First Name:MIHAELA
Middle Name:
Last Name:SESCIOREANU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MIHAELA
Other - Middle Name:
Other - Last Name:BUTCARU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3100 CROSS CREEK PKWY STE 210B
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-2776
Mailing Address - Country:US
Mailing Address - Phone:248-335-1110
Mailing Address - Fax:248-335-6129
Practice Address - Street 1:3100 CROSS CREEK PKWY STE 210B
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-2776
Practice Address - Country:US
Practice Address - Phone:248-335-1110
Practice Address - Fax:248-335-6129
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301075670207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIAPPLYINGMedicaid
MIAPPLYINGMedicaid
APPLYINGMedicare UPIN