Provider Demographics
NPI:1083609259
Name:GYORFI, TIBOR (MD)
Entity Type:Individual
Prefix:MR
First Name:TIBOR
Middle Name:
Last Name:GYORFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 QUANTUM RD NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-4506
Mailing Address - Country:US
Mailing Address - Phone:505-924-0209
Mailing Address - Fax:505-924-0210
Practice Address - Street 1:1007 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-1715
Practice Address - Country:US
Practice Address - Phone:229-439-7170
Practice Address - Fax:229-431-0770
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2018-0764207ZP0102X
GA051585207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00958262AMedicaid
GA220032571OtherRAILROAD MEDICARE
GA00958262AOtherPEACHSTATE
GA206401OtherBLUE CROSS BLUE SHIELD
GA341197OtherWELLCARE
GA206401OtherBLUE CROSS BLUE SHIELD
GA00958262AMedicaid
GA22BDDJFMedicare ID - Type Unspecified