Provider Demographics
NPI:1164529681
Name:GIRGAWY, ESSAM A (MD)
Entity Type:Individual
Prefix:
First Name:ESSAM
Middle Name:A
Last Name:GIRGAWY
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:PO BOX 3330
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77402-3330
Mailing Address - Country:US
Mailing Address - Phone:281-587-8777
Mailing Address - Fax:281-587-2577
Practice Address - Street 1:1125 CYPRESS STATION DR
Practice Address - Street 2:SUITE G1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3054
Practice Address - Country:US
Practice Address - Phone:281-587-8777
Practice Address - Fax:281-587-2577
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6398207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7514535OtherAETNA
TX0732624OtherCIGNA
TX8AW740OtherBC/BS
TX1669905-02Medicaid
TX0732624OtherCIGNA
TX00Y273Medicare PIN