Healthcare Provider Details
I. General information
NPI: 1982851135
Provider Name (Legal Business Name): GIRISH WARRIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/19/2008
Last Update Date: 08/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
34TH & CIVIC CENTER BLVD CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA PA
19104-4399
US
IV. Provider business mailing address
3535 MARKET ST 12TH FLOOR, SUITE 1220 - CHOP DEPT OF MSA
PHILADELPHIA PA
19104-3309
US
V. Phone/Fax
- Phone: 215-590-1000
- Fax:
- Phone: 215-590-4670
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208G00000X |
| Taxonomy | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| License Number | MD434451 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: