Provider Demographics
NPI:1982028155
Name:DING, ZHIBO (MD (CHINA), OMD)
Entity Type:Individual
Prefix:
First Name:ZHIBO
Middle Name:
Last Name:DING
Suffix:
Gender:F
Credentials:MD (CHINA), OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 TOBIAS GADSON BLVD
Mailing Address - Street 2:STE 105
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4707
Mailing Address - Country:US
Mailing Address - Phone:843-763-6788
Mailing Address - Fax:
Practice Address - Street 1:1470 TOBIAS GADSON BLVD
Practice Address - Street 2:STE 105
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4707
Practice Address - Country:US
Practice Address - Phone:843-763-6788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-09
Last Update Date:2014-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCACUP8171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist