Individual
DR. TIBOR FULOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-4500
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
(601) 984-5765
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
18168
MS
207RN0300X
Nephrology Physician
Primary
40947
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1087501
—
MS
05
—
1470571
—
LA
05
—
156119
—
AL
01
—
P00628034
RAILROAD
MS
01
—
P01402474
RR MEDICARE
MS
Enumeration date
06/29/2006
Last updated
07/21/2022
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