Provider Demographics
NPI:1245231430
Name:VOULGAROPOULOS, MENELAOS (MD)
Entity Type:Individual
Prefix:MR
First Name:MENELAOS
Middle Name:
Last Name:VOULGAROPOULOS
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 1:18225 MAINSAIL POINTE DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-5199
Mailing Address - Country:US
Mailing Address - Phone:704-871-9731
Mailing Address - Fax:
Practice Address - Street 1:349 BROOKDALE DR
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-4103
Practice Address - Country:US
Practice Address - Phone:980-223-2595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC40014207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC898518Medicaid
NC2156523GMedicare ID - Type Unspecified
NC898518Medicaid