Provider Demographics
NPI:1962405746
Name:ONCIU, MIHAELA (MD)
Entity type:Individual
Prefix:DR
First Name:MIHAELA
Middle Name:
Last Name:ONCIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3495 HACKS CROSS RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-8803
Mailing Address - Country:US
Mailing Address - Phone:901-526-7444
Mailing Address - Fax:901-526-0791
Practice Address - Street 1:3495 HACKS CROSS RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125
Practice Address - Country:US
Practice Address - Phone:901-526-7444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35294207ZH0000X, 207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104763286Medicaid
TN5440451Medicaid
MS00124272Medicaid
NC7613148Medicaid
AL009936359Medicaid
IA0547174Medicaid
NJ0063525Medicaid
LA1185469Medicaid
KS200377050Medicaid
MT0149515Medicaid
MO205365109Medicaid
ME422400000Medicaid
KY64036486Medicaid
AR143757001Medicaid
CO57770875Medicaid
AZ715394Medicaid
AZ715394Medicaid