Provider Demographics
NPI:1659315414
Name:GUIRGUES, ASHRAF FAAEK (MD)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:FAAEK
Last Name:GUIRGUES
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 5105
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-5100
Mailing Address - Country:US
Mailing Address - Phone:919-332-3800
Mailing Address - Fax:
Practice Address - Street 1:3714 GUARDIAN AVE
Practice Address - Street 2:STE E
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-4322
Practice Address - Country:US
Practice Address - Phone:252-247-2101
Practice Address - Fax:252-247-4675
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200537207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNH0002396OtherTRICARE
NH30203589Medicaid
NHP0071675OtherRR MEDICARE
NHP0071675OtherRR MEDICARE
H58707Medicare UPIN