Provider Demographics
NPI:1295046530
Name:GOURGARI, EVGENIA
Entity type:Individual
Prefix:
First Name:EVGENIA
Middle Name:
Last Name:GOURGARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NIH DEVELOPMENTAL ENDOCRINOLOGY & GENETICS
Mailing Address - Street 2:BLDG. 10, ROOM 9D-42 , 10 CENTER DRIVE MSC 1830
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-451-1466
Mailing Address - Fax:
Practice Address - Street 1:NIH DEVELOPMENTAL ENDOCRINOLOGY & GENETICS
Practice Address - Street 2:BLDG. 10, ROOM 9D-42 ,10 CENTER DRIVE MSC 1830
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-451-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN 10977208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics