Provider Demographics
NPI:1013078419
Name:GIRGIS, RAAFAT Y (MD)
Entity type:Individual
Prefix:DR
First Name:RAAFAT
Middle Name:Y
Last Name:GIRGIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:724 MAIDEN CHOICE LN
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5911
Mailing Address - Country:US
Mailing Address - Phone:410-744-1101
Mailing Address - Fax:410-744-1186
Practice Address - Street 1:724 MAIDEN CHOICE LN
Practice Address - Street 2:SUITE 201
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5911
Practice Address - Country:US
Practice Address - Phone:410-744-1101
Practice Address - Fax:410-744-1186
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD31726207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD31726OtherST LICENSE NUMBER
MDD76221Medicare UPIN