Provider Demographics
NPI:1063455335
Name:GAZONI, PAULO M (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULO
Middle Name:M
Last Name:GAZONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5855 BREMO ROAD, SUITE 210
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1922
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5801 BREMO RD
Practice Address - Street 2:VIRGINIA EMERGENCY ASSOCIATES INC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1907
Practice Address - Country:US
Practice Address - Phone:804-287-7066
Practice Address - Fax:804-673-9531
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2012-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101232953207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH90747Medicare UPIN