Provider Demographics
NPI:1164865077
Name:GIRGIS, MARIAN MAKRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:MAKRAM
Last Name:GIRGIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4851 HORTON ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-1758
Mailing Address - Country:US
Mailing Address - Phone:913-588-6917
Mailing Address - Fax:913-588-6280
Practice Address - Street 1:4851 HORTON ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-1758
Practice Address - Country:US
Practice Address - Phone:858-775-8197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS94-08194208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics