Provider Demographics
NPI:1023237260
Name:GIRGIS, CHERIF E (MD)
Entity type:Individual
Prefix:
First Name:CHERIF
Middle Name:E
Last Name:GIRGIS
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 1:3032 NATUREVIEW CT
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-5327
Mailing Address - Country:US
Mailing Address - Phone:646-387-0910
Mailing Address - Fax:
Practice Address - Street 1:884 EASTLAKE PKWY STE 1621
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-4549
Practice Address - Country:US
Practice Address - Phone:646-387-0910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN67515207QA0505X
TXU1017208M00000X
CAA105162208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT804583Medicaid