Provider Demographics
NPI:1134178916
Name:GIRAGOS, JOHN GARABED (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:GARABED
Last Name:GIRAGOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20 WEST COLONY PLACE
Mailing Address - Street 2:SUITE 260
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-5577
Mailing Address - Country:US
Mailing Address - Phone:919-493-1810
Mailing Address - Fax:
Practice Address - Street 1:20 WEST COLONY PLACE
Practice Address - Street 2:SUITE 260
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-5577
Practice Address - Country:US
Practice Address - Phone:919-493-1810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC168662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8935663Medicaid
D83397Medicare UPIN
NC8935663Medicaid