Provider Demographics
NPI:1164441218
Name:SORIANO, FRANKLIN M JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:M
Last Name:SORIANO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3679
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-0679
Mailing Address - Country:US
Mailing Address - Phone:757-488-6400
Mailing Address - Fax:757-488-2572
Practice Address - Street 1:4725 PORTSMOUTH BLVD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-2307
Practice Address - Country:US
Practice Address - Phone:757-488-6400
Practice Address - Fax:757-488-2572
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101041890207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA103477OtherANTHEM
VA2120724OtherMAMSI/MDIPA
VA2120724OtherMAMSI/MDIPA