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Individual

DR. EKRAM G GUIRGUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3031 PLANK RD, FREDERICKSBURG, VA 22401-4951
(540) 736-5043
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-239161
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083682843
VA
01
P00621589
MEDIC ARE RR
VA
01
P02045182
RR MEDICARE
VA
01
VV5068B
MEDICARE
VA
Enumeration date
03/09/2006
Last updated
06/23/2021
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