Provider Demographics
NPI:1821789330
Name:GIRGIS, JOSEPH KIROLLOS (MB BCH BAO)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:KIROLLOS
Last Name:GIRGIS
Suffix:
Gender:M
Credentials:MB BCH BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 VARSITY ESTATES PLACE NW
Mailing Address - Street 2:
Mailing Address - City:CALGARY
Mailing Address - State:ALBERTA
Mailing Address - Zip Code:T3B 3C2
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2115 WISCONSIN AVENUE, NW
Practice Address - Street 2:SUITE 200
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:202-944-5400
Practice Address - Fax:202-944-5402
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program