Provider Demographics
NPI:1235146077
Name:GIRGIS, EMAD NABIL (MD)
Entity Type:Individual
Prefix:DR
First Name:EMAD
Middle Name:NABIL
Last Name:GIRGIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:EMAD
Other - Middle Name:NABIL
Other - Last Name:GIRGIS ATALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:17600 TALBOT RD S
Mailing Address - Street 2:SUITE 5
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5788
Mailing Address - Country:US
Mailing Address - Phone:425-207-1398
Mailing Address - Fax:
Practice Address - Street 1:17600 TALBOT RD S
Practice Address - Street 2:SUITE 5
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5788
Practice Address - Country:US
Practice Address - Phone:425-207-1398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240961207R00000X
WA47293207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine