Provider Demographics
NPI:1023095957
Name:HOUGEIR, FIRAS GEORGE (MD)
Entity type:Individual
Prefix:
First Name:FIRAS
Middle Name:GEORGE
Last Name:HOUGEIR
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 1:151 SOUTHHALL LN
Mailing Address - Street 2:STE 300
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7172
Mailing Address - Country:US
Mailing Address - Phone:407-875-2080
Mailing Address - Fax:407-650-3455
Practice Address - Street 1:4645 TIMBER RIDGE DR
Practice Address - Street 2:STE 100
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-7542
Practice Address - Country:US
Practice Address - Phone:678-702-3376
Practice Address - Fax:678-909-0446
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060181207ND0101X, 207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I075589Medicare PIN
GA102I077563Medicare PIN
AZP00150688OtherRAILROAD MEDICARE
AZ76988Medicare ID - Type Unspecified
H97188Medicare UPIN
AZ86080015085259C380OtherTRIWEST