Provider Demographics
NPI:1952305872
Name:KULP, GIORGIO V P (MD)
Entity Type:Individual
Prefix:DR
First Name:GIORGIO
Middle Name:V P
Last Name:KULP
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 1:11125 ROCKVILLE PIKE
Mailing Address - Street 2:STE 209
Mailing Address - City:N BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3142
Mailing Address - Country:US
Mailing Address - Phone:301-230-2280
Mailing Address - Fax:301-230-2245
Practice Address - Street 1:11125 ROCKVILLE PIKE
Practice Address - Street 2:STE 209
Practice Address - City:N BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3142
Practice Address - Country:US
Practice Address - Phone:301-230-2280
Practice Address - Fax:301-230-2245
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0053243208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD601AMEOtherBLUECROSS BLUESHIELD OFMD
MD63826301OtherCAREFIRST OF MD
MD7925383OtherAETNA
MD9892352OtherCIGNA
DCJ5750001OtherCAREFIRST BLUECROSS BLUES
MD2112424OtherUHC
MDP16293OtherMD POS