Professor Boycho Landzhov, MD, PhD
Rector of the Medical University of Sofia and a professor of Anatomy, Histology and Embryology.
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Bulgaria's oldest medical school, teaching since 1917, with fourteen teaching hospitals in the capital and a six-year degree taught in English.





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Bulgaria
Country
Sofia
City
601 to 650
QS Medicine ranking 2026
English
Medium, with compulsory Bulgarian
For Indian Students
Short answer: Yes, Indian students can study medicine in Bulgaria. No, not as the rules stand: Bulgaria's internship, 310 to 336 days depending on the university, is shorter than the 12 months the NMC requires.
Seven Bulgarian faculties teach the six-year programme in English. Each runs its own entrance exam in English, Biology and Chemistry, and a qualified NEET UG result is mandatory before admission.
No, not as the rules stand. The NMC Foreign Medical Graduate Licentiate Regulations 2021 ask for a course of at least 54 months, teaching in English and a twelve-month internship in the same institution. The Bulgarian degree lasts six years and is taught in English, and the internship takes place in the university's own hospitals, but it runs 310 to 336 days depending on the university, rather than twelve months.
As the rules stand, the degree does not lead to an Indian licence through the FMGE (NExT deferred and not in force). Official NBEMS data records 21 passes from 73 Bulgaria-trained candidates across the 2025 sessions. If India is your long-term goal, plan this with our counsellors before you apply.
Introduction



Gate of Aleksandrovska University Hospital in Sofia at night, seen from the path through its grounds
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Recognition & Prestige
The Medical University of Sofia appears in the QS and Times Higher Education subject tables for Medicine, although its QS Medicine band has fallen in recent years. Bulgaria's National Evaluation and Accreditation Agency (NEAA) rates its Medicine programme, its Faculty of Medicine is listed in the World Directory of Medical Schools (WDOMS), and the Bulgarian medical degree is named in EU law.
601 to 650
QS World University Rankings by Subject 2026, Medicine (501 to 550 in 2022)
801 to 1000
Times Higher Education 2025, Medical and Health
9.20 / 10
NEAA programme rating for Medicine, 2026
Clinical training runs across fourteen university hospitals in Sofia, among them Aleksandrovska with around 1,100 beds, Tsaritsa Yoanna, St. Sofia, Maichin Dom for obstetrics and gynaecology, St. Anna, St. Ekaterina, St. Ivan Rilski, St. Naum for neurology and psychiatry, Pirogov for emergency medicine and the Military Medical Academy. EU Directive 2005/36/EC lists the Bulgarian degree, Магистър-лекар, in Annex V, point 5.1.1. Because the Faculty of Medicine is listed in WDOMS, graduates can apply for ECFMG Certification and the USMLE. The GMC lists the Bulgarian Master physician diploma as a relevant European qualification, so UK registration is applied for directly, without PLAB. For India, the degree does not meet the NMC rules as they stand, because the 310-day internship inside the degree is shorter than the twelve months the NMC asks for in the same institution.

EU
Bulgaria is an EU member state, and its degree Магистър-лекар is listed in Annex V, point 5.1.1 of EU Directive 2005/36/EC

WDOMS
The Medical University of Sofia Faculty of Medicine is listed in the World Directory of Medical Schools (FAIMER School ID F0000617)
Complete Information About the Medical University of Sofia
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Academic Excellence
Sofia offers the oldest medical school in Bulgaria, fourteen teaching hospitals, an international ranking presence and life in an EU capital. It is also the most expensive city in Bulgaria, and, as the NMC rules stand, the degree does not lead to an Indian licence, as the sections below explain.
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How to Apply
Admission to Medicine at the Medical University of Sofia runs through one online examination in English, Biology and Chemistry, with a single date for non-EU applicants. NEET does not decide admission, but a qualified NEET-UG result is a separate Indian requirement a student must hold before going abroad. Documents are accepted in person only, which shapes the whole timetable.
Indian nationals must qualify NEET-UG before taking admission abroad; under NMC rules the NEET result serves as the eligibility certificate and is valid for three years. This is an Indian requirement, entirely separate from the university's own selection.
NACID, the Bulgarian recognition centre, must recognise the applicant's secondary education. It takes about a month, and no application completes without it. Legalise the diploma and have it translated into Bulgarian by a certified translator.
Sofia accepts documents in person only and rejects anything sent by post, fax or email. Non-EU applicants supply paper originals plus a USB drive holding each document as a separately named PDF. The application fee is €55 (about ₹6,050).
One online examination in English, Biology and Chemistry, with a maximum score of 42. Non-EU applicants, including Indians, sit it on 9 September 2026; EU and EEA applicants on 3 September. The examination fee is €210 (about ₹23,100).
Admitted students apply for a Bulgarian long-stay type D visa (€100 or €200, with a personal interview) and, after arrival, for a residence permit from the Migration Directorate, granted for up to a year and renewable.
The 2026/2027 academic year begins on 19 October 2026.
The applicant needs completed secondary education that qualifies them for higher education at home, shown by a legalised diploma with a certified Bulgarian translation and a NACID recognition certificate. Sofia asks for no separate English certificate, because English is part of the entrance examination. Under Indian NMC rules an Indian applicant additionally needs Physics, Chemistry, Biology and English at Class 12, with a minimum of 50% aggregate in Physics, Chemistry and Biology for the general category, 40% for SC, ST and OBC candidates and 45% for general-category candidates with benchmark disabilities, together with a qualifying NEET-UG score.
Subjects:
Under Indian NMC rules the candidate must be 17 years old by 31 December of the admission year, with no upper age limit. The university applies no separate age condition of its own.
Two practical steps take time and should be started well before the September examination.
Apostille and Certified Translation
The secondary diploma must be legalised and officially translated into Bulgarian. India and Bulgaria are both parties to the Hague Apostille Convention, so Indian documents are legalised with an apostille.
In-Person Submission
Documents are accepted in person only, as paper originals plus a USB drive with each document as a separately named PDF. Plan the trip to Sofia into the timetable, and start NACID recognition early.
Admission rests on the university's own examination rather than on category-wise minimum marks.
| Component | Requirement |
|---|---|
| English, Biology and Chemistry | One online examination set by the university, with a maximum score of 42 |
| 2026 dates | 9 September 2026 for non-EU applicants, including Indians; 3 September 2026 for EU and EEA applicants |
| Fees | €210 examination fee (about ₹23,100) and €55 application fee (about ₹6,050) |
To apply, students need to submit essential academic and identification documents:
Admission Guidance & Document Checklist
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Programme Structure
Medicine at Sofia is a six-year single-cycle Master's of 428 ECTS, taught in English with compulsory Bulgarian from the first year. Years 1 and 2 are preclinical, years 3 to 5 combine clinical theory with clinical cycles, and the degree ends in a pre-graduation internship of 310 days and 30 ECTS, which includes a 50-day state examination session. That internship is shorter than the NMC's twelve months, so, as the rules stand, the degree does not meet the NMC rules for Indian students.
Total Duration:
6 Years, 428 ECTS, ending in a 310-day pre-graduation internship
Degree:
Master's in Medicine, Магистър-лекар (Master-Physician), equivalent to MBBS
Years 1 to 2
Basic sciences and the healthy body, taught alongside compulsory Bulgarian for international students:
Year 3
Pathology and pharmacology taught with the first systematic clinical examination teaching:
Years 4 to 5
Clinical teaching across the specialties in the university's fourteen teaching hospitals:
Year 6
A pre-graduation internship of 310 days and 30 ECTS in the university's teaching hospitals, closing with a 50-day state examination session in five fields worth 15 ECTS:
Clinical training runs across fourteen university hospitals in Sofia:
| Hospital | Role in clinical training |
|---|---|
| Aleksandrovska University Hospital | One of the principal teaching hospitals of the Faculty of Medicine, with around 1,100 beds |
| Pirogov | Emergency medicine teaching |
| Maichin Dom | Obstetrics and gynaecology teaching |
| Prof. Dr. Ivan Mitev and Prof. Ivan Kirov hospitals | Paediatrics and infectious diseases teaching respectively |
| Specialist and general hospitals | Tsaritsa Yoanna, St. Sofia, Acad. Ivan Penchev for endocrinology, Prof. Boycho Boychev for orthopaedics, St. Anna, St. Ekaterina, St. Ivan Rilski, St. Naum for neurology and psychiatry, and the Military Medical Academy |
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European Framework
What a Bulgarian medical degree is worth depends on the framework it sits inside. The table sets out where the Sofia degree stands after graduation.
| Item | Detail |
|---|---|
| European Union | Bulgaria's degree, Магистър-лекар, is listed in Annex V, point 5.1.1 of EU Directive 2005/36/EC. Automatic recognition across the EU applies to EU citizens, so an Indian graduate moves to another EU country through that country's own procedures, or through EU long-term resident status |
| UK registration | The General Medical Council lists the Bulgarian Master in Medicine with the professional qualification Master physician, completed on or after 1 January 2007, as a relevant European qualification. A graduate applies for full registration directly, without PLAB, with evidence of English such as IELTS or OET. The route depends on where you qualified, not on nationality |
| United States | The Faculty of Medicine is listed in WDOMS, so graduates can apply for ECFMG Certification and sit the USMLE. ECFMG's accreditation policy is for information only and does not affect an individual graduate's eligibility |
| NEAA accreditation | Institutional rating of 9.55 out of 10, valid from 25 September 2025 to 25 September 2031, and a 2026 programme rating of 9.20 for Medicine |
| European Higher Education Area | Bulgaria is in the Bologna Process and the degree is a Bologna-structure Master's, which eases credit transfer and postgraduate applications across Europe |
| Schengen and the euro | Bulgaria completed its Schengen accession on 1 January 2025 and adopted the euro on 1 January 2026 |
Understand the Recognition Framework
The table above sets out where a Bulgarian medical qualification is recognised and on what basis.
Legacy
The Faculty of Medicine has taught in Sofia since 1917 and is led today by a professor of anatomy.
Rector of the Medical University of Sofia and a professor of Anatomy, Histology and Embryology.
The university teaches around 10,000 students across four faculties: Medicine with 3,700 students, Dental Medicine with 1,500, Pharmacy with 1,400 and Public Health with 3,860, alongside a Medical College in Sofia and a subsidiary in Vratsa. It hosted 3,315 international students from 71 countries at the end of the 2025/2026 academic year.
Bulgaria's oldest medical faculty, founded in 1917
QS Medicine 601 to 650 (2026)
NEAA institutional rating of 9.55, valid to 2031
Fourteen university teaching hospitals
3,315 international students from 71 countries
Compulsory Bulgarian from the first year for ward communication
A dedicated English-taught Medicine curriculum
One online entrance examination, so no travel is needed to sit it
About University
Get all information about the Medical University of Sofia in our free brochure
Read on to find out how you can fulfil your dream of studying medicine at the Medical University of Sofia.
Role in medicine
Get all information about the Medical University of Sofia in our free brochure
Read on to find out how you can fulfil your dream of studying medicine at the Medical University of Sofia.
Cost of living
Sofia is the most expensive Bulgarian city to live in, and rent is the largest variable: sharing a flat brings it down substantially. The table converts at about ₹110 to the euro.
| Cost Component | Approximate Amount |
|---|---|
| Accommodation (shared flat to one-bedroom flat outside the centre) | ₹17,000 to ₹58,200 (€155 to €529) |
| Groceries/meals | ₹16,500 to ₹27,500 (€150 to €250) |
| Utilities/internet | ₹10,500 to ₹18,000 (€95 to €165) |
| Public transport (under-25 monthly pass) | ₹1,400 (€12.70) |
| Miscellaneous (books, etc.) | ₹11,000 to ₹22,000 (€100 to €200) |
Average monthly living cost
₹56,400 to ₹1,27,100 (€510 to €1,155)
Housing
Accommodation in Sofia splits between a university dormitory place and the private rental market, and the gap between them is the largest variable in a student's budget.
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Food & Dining
Sofia has Bulgaria's established Indian food scene, and as an EU capital it has the grocery infrastructure that makes cooking Indian food straightforward.
Taj Mahal, Satsanga, India House and Kohinoor are all listed for delivery on Glovo, so Indian food is part of everyday life in the city.
Sofia has full European supermarket infrastructure, and EU-wide online grocery and spice suppliers deliver into Bulgaria without customs or payment friction, so cooking Indian food at home is straightforward.
Bulgarian cooking is heavy on vegetables, dairy and bread, with salads, yoghurt, banitsa and grilled meats, and vegetarian students generally find it accommodating.
Sofia restaurant prices sit at normal EU regional-capital levels, so cooking at home is the main way to hold the food budget down.
With 3,315 international students from 71 countries at the university, informal food networks and shared cooking among students are common. The international office is the first contact for meeting other Indian students.
Location
Faculty of Medicine, 1 St. Georgi Sofiyski Street, Sofia 1431, Bulgaria. The Rectorate is at 15 Acad. Ivan Geshov Boulevard, Sofia 1431, and clinical teaching runs across fourteen hospitals throughout the city.
Nearest Airport
Sofia Airport (SOF), in the city. There is no direct flight from India, so the journey connects through Istanbul, Dubai or Doha
Local Transport
Sofia has a metro, trams and buses, with a monthly city pass for under-25s at €12.70
Your Roadmap to Success
Graduates receive a Master's in Medicine with the professional qualification Магистър-лекар (Master-Physician), the Bulgarian primary medical qualification. It is the equivalent of an Indian MBBS, not an Indian postgraduate MD.
The Bulgarian degree is listed in Annex V of EU Directive 2005/36/EC. Automatic recognition under the directive applies to EU, EEA and Swiss citizens, so an Indian citizen moves to another EU country through that country's own procedures, or through EU long-term resident status.
The General Medical Council lists the Bulgarian Master in Medicine with the professional qualification Master physician, completed on or after 1 January 2007, as a relevant European qualification. A graduate applies to the GMC for full registration directly, without sitting PLAB, with evidence of English such as IELTS or OET. The route depends on where you qualified, not on your nationality.
The Medical University of Sofia Faculty of Medicine is listed in the World Directory of Medical Schools (WDOMS), so its graduates can apply for ECFMG Certification and sit the USMLE, the US licensing exam. ECFMG's accreditation policy is for information only and does not affect an individual graduate's eligibility for ECFMG Certification.
For India, the degree does not meet the NMC rules as they stand. The NMC Foreign Medical Graduate Licentiate Regulations 2021 ask for a course of at least 54 months, teaching in English and a twelve-month internship in the same foreign institution. The Sofia degree lasts six years and is taught in English, and the internship takes place in the university's own teaching hospitals, but it runs 310 days, about ten months, not twelve. So it does not lead to an Indian licence through the FMGE (NExT deferred and not in force). Plan this with our counsellors before you apply.
After registration, graduates can pursue specialty training in Bulgaria, in another EU country through its own procedures, in the United Kingdom after full GMC registration, or in India after the FMGE and the Indian internship.
Understand the Medical Licensing Pathway
A clear overview of the exams and requirements after graduation.
Practising in India
To practise medicine in India after graduating abroad, an Indian student qualifies NEET-UG before admission, completes the course abroad, clears the NMC screening examination (the FMGE; NExT is deferred and not in force), completes an internship in India and registers with a State Medical Council. A Bulgarian degree does not meet the NMC rules as they stand, because the internship inside the degree is shorter than twelve months.
Step 1
The NMC Foreign Medical Graduate Licentiate Regulations 2021 ask for at least 54 months of study and a twelve-month internship in the same foreign institution. The six-year Sofia programme clears the course length, and its pre-graduation internship runs in the university's own teaching hospitals, but it lasts 310 days and 30 ECTS, about ten months. As the rules stand, the degree therefore does not meet the NMC rules.
Step 2
The regulations require the course to be taught in English. The university runs a dedicated English-taught Medicine track, with compulsory Bulgarian from the first year because the clinical years are spent with Bulgarian-speaking patients.
Step 3
The National Board of Examinations in Medical Sciences conducts the FMGE twice a year with a pass mark of 150 out of 300. Official NBEMS data for the two 2025 sessions records 21 passes from 73 Bulgaria-trained candidates (28.8%). Nationally, the December 2025 session passed 10,262 of 42,872 candidates (23.95%). The National Exit Test (NExT), intended to replace the FMGE, is deferred and not in force.
Step 4
Clearing the FMGE is followed by a twelve-month Compulsory Rotating Medical Internship in India, the same as an Indian MBBS graduate completes. It comes in addition to the Sofia internship, not instead of it.
Step 5
Once the internship in India is complete, the graduate applies for registration with the relevant State Medical Council. Bulgaria and India are both parties to the Hague Apostille Convention, so the Bulgarian degree is legalised for use in India with an apostille.
Student Life Style
Sofia is an EU capital of 1.2 million people at the foot of Vitosha mountain, with cold winters, warm summers and the Black Sea coast within a day's travel.

Aerial view of the beach and coastline at Varna on Bulgaria's Black Sea coast

Aerial view of the port and city of Varna on Bulgaria's Black Sea coast
Scholarship & Financial
No scholarship or fee waiver for international students is published at Sofia, so a family should plan for the full fee from the start.
Tuition is €9,950 a year (about ₹10.9 lakh), €59,700 across six years (about ₹65.7 lakh). Add a €55 application fee and a €210 entrance examination fee.
No scholarship or fee waiver for international students could be found at Sofia, and no Bulgarian government scholarship open to Indian nationals for a medical degree is published.
Once enrolled, a student can apply for Erasmus+ funding for an exchange period abroad, and eligibility turns on enrolment rather than nationality. It does not pay Bulgarian tuition.
Compare
Compare the Medical University of Sofia with India's top-ranked government medical college.
Quick Comparison:
Medical University of Sofia vs AIIMS New Delhi
| University | Medical University of SofiaSofia, Bulgaria | AIIMS New DelhiNew Delhi, India |
|---|---|---|
| University Type | Public | Institute of National Importance (government) |
| Medium | English, with compulsory Bulgarian | English |
| Course Duration | 6 years, 428 ECTS (Магистър-лекар) | 5.5 years: 4.5 years of study plus a 12-month internship |
| Tuition (per year) | €9,950, about ₹10.9 lakh | Nominal government fee |
| Admission | University exam in English, Biology and Chemistry, plus a qualified NEET result | NEET UG |
| Recognition | Listed in WDOMS; EU Annex V 5.1.1; does not meet the NMC rules (internship shorter than 12 months) | Listed in WDOMS |
| Global Ranking | QS Medicine 601 to 650 (2026), declining | NIRF Medical 1 (2025); QS Medicine =105 (2026) |
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FAQ
Short answers to the questions students and parents ask most often about studying medicine at the Medical University of Sofia.