Hani Makram Guirguis, D.M.D.
Individual provider Active NPI Dentist · Corcoran, CA
NPI 1437358488 · NPPES record last updated Jul 11, 2007
Key facts
- NPI
- 1437358488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 46261 (CA)
- Practice address
- 4001 King Ave.
Corcoran, CA 93274 - Phone
- (559) 992-8800
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46261 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CSP-Corcoran | Past | Accepting new patients | |
| Corrections and Rehabilitation-Headquarters | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46261 | CA | Yes |
Addresses
Primary practice location
4001 King Ave.
Corcoran, CA 93274
Mailing address
9400 Lake Victoria Dr
Bakersfield, CA 93312-6234
Phone (661) 204-1515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46261 | Other | CA | DENTIST |
Other providers in Corcoran, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.