Provider Demographics
NPI:1972999712
Name:GIRGIS, FADY (MD)
Entity type:Individual
Prefix:DR
First Name:FADY
Middle Name:
Last Name:GIRGIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4860 Y STREET
Mailing Address - Street 2:3740
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-6512
Mailing Address - Fax:916-703-5368
Practice Address - Street 1:4860 Y STREET
Practice Address - Street 2:3740
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-6512
Practice Address - Fax:916-703-5368
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-08
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA143380207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery