Provider Demographics
NPI:1184878555
Name:GIURGIUS, MAGDY FAKHRY (MBCHB)
Entity type:Individual
Prefix:
First Name:MAGDY
Middle Name:FAKHRY
Last Name:GIURGIUS
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2600 INDEPENDENCE SQ
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-4233
Mailing Address - Country:US
Mailing Address - Phone:417-256-1774
Mailing Address - Fax:417-256-1794
Practice Address - Street 1:2600 INDEPENDENCE SQ
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-4233
Practice Address - Country:US
Practice Address - Phone:417-256-1774
Practice Address - Fax:417-256-1794
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYIP 1111208600000X
MO2015010387208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery