Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 25MA06554800 | NJ |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 25MA06554800 | NJ |
NPI | 1134109895 |
---|---|
Provider Name | Ihab Girgis |
First Address | Neptune, NJ 07753-4860 |
Second Address | Neptune, NJ 07753-4860 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 30/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005495537 | AETNA (01) | |
0463443000 | AMERIHEALTH (01) | NJ |
060044782 | RAILROAD MEDICARE (01) | |
0K5700 | HEALTHNET (01) | |
2088200 | UNITED HEALTHCARE (01) | |
223247181 | HORIZON BCBS (01) | NJ |
223247181005 | QUALCARE (01) | |
5714322 | GHI (01) | |
7340605 | (05) | NJ |
8240306005 | CIGNA (01) | NJ |
84K61 | EMPIRE BLUE CROSS (01) | |
865232 | AETNA HMO (01) | |
F47464 | (02) | |
NJ0012200 | TRICARE (01) | |
P886234 | OXFORD (01) |