Provider Demographics
NPI:1255373627
Name:GIRAUDI, CARLO FRANCIS (DPM)
Entity type:Individual
Prefix:DR
First Name:CARLO
Middle Name:FRANCIS
Last Name:GIRAUDI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:797 E LANCASTER AVE
Mailing Address - Street 2:SUITE 9
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3315
Mailing Address - Country:US
Mailing Address - Phone:610-873-0322
Mailing Address - Fax:610-873-1467
Practice Address - Street 1:797 E LANCASTER AVE
Practice Address - Street 2:SUITE 9
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3315
Practice Address - Country:US
Practice Address - Phone:610-873-0322
Practice Address - Fax:610-873-1467
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC002123L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA480000235OtherPALMETTO GBA
PA000147760OtherHIGHMARK BLUE SHIELD ID
PA0005686088OtherAETNA
PA0026794000OtherINDEPENDENCE BLUE CROSS
TXC 000147760OtherUNITED AMERICAN INSURANCE
WVXXXXX8174019335 0000OtherTRICARE
PA50013525OtherCAPITAL BLUE CROSS
IA98985OtherWELLMARK HEALTH PLAN
PAA47760OtherINTERCOUNTY HEALTH PLAN
NYP7395OtherEMPIRE BC BS
GA480000235OtherPALMETTO GBA
PAT29611Medicare UPIN