Provider Demographics
NPI:1912104456
Name:SURANYI, PAL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:PAL
Middle Name:
Last Name:SURANYI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 751461
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1461
Mailing Address - Country:US
Mailing Address - Phone:843-792-6200
Mailing Address - Fax:
Practice Address - Street 1:169 ASHLEY AVE
Practice Address - Street 2:MUSC, DEPARTMENT OF RADIOLOGY
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-5836
Practice Address - Country:US
Practice Address - Phone:843-792-8689
Practice Address - Fax:843-792-0409
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC300692085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology