Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0101251292 | VA |
Y | 207RP1001X | Pulmonary Disease | 0101251292 | VA |
N | 207RS0012X | Sleep Medicine | 0101251292 | VA |
NPI | 1083737449 |
---|---|
Provider Name | Dr. Andrew N Githaiga |
First Address | Norfolk, VA 23502-3927 |
Second Address | Norfolk, VA 23502-3920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 20/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7410914 | (05) | WA |
AB32999 | MEDICARE GROUP (01) | WA |
MD00047242 | LIC (01) | WA |