Provider Demographics
NPI:1770578486
Name:GIRAGOS, JUMANA CAMILLE (MD)
Entity type:Individual
Prefix:
First Name:JUMANA
Middle Name:CAMILLE
Last Name:GIRAGOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7750 DILEY RD STE A
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-7758
Mailing Address - Country:US
Mailing Address - Phone:614-837-7337
Mailing Address - Fax:614-837-7335
Practice Address - Street 1:4595 TRUEMAN BLVD
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2576
Practice Address - Country:US
Practice Address - Phone:614-529-0771
Practice Address - Fax:614-529-2370
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35079758208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2253378Medicaid