Healthcare Provider Details

I. General information

NPI: 1144477795
Provider Name (Legal Business Name): MATEI T ANDREOIU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10707 PACIFIC ST STE 101
OMAHA NE
68114-4762
US

IV. Provider business mailing address

105 S 90TH ST
OMAHA NE
68114-3963
US

V. Phone/Fax

Practice location:
  • Phone: 402-397-9800
  • Fax: 402-397-7591
Mailing address:
  • Phone: 402-763-4518
  • Fax: 402-397-7591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number37540
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: