Healthcare Provider Details

I. General information

NPI: 1528102613
Provider Name (Legal Business Name): ANA G FUNARIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 05/12/2021
Certification Date: 05/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 VERDAE BLVD SUITE A
GREENVILLE SC
29607-4032
US

IV. Provider business mailing address

300 E MCBEE AVE
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 864-242-4683
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number21206
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: