Provider Demographics
NPI:1255311189
Name:GARONE, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:GARONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3700 JOSEPH SIEWICK DR
Mailing Address - Street 2:SUITE 308
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1744
Mailing Address - Country:US
Mailing Address - Phone:703-698-8960
Mailing Address - Fax:703-716-8703
Practice Address - Street 1:3700 JOSEPH SIEWICK DR
Practice Address - Street 2:SUITE 308
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1744
Practice Address - Country:US
Practice Address - Phone:703-698-8960
Practice Address - Fax:647-646-4744
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2019-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101033340207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
178736OtherANTHEM BCBS
VA5827302Medicaid
187436OtherANTHEM BCBS
334233OtherANTHEM BCBS
334230OtherANTHEM BCBS
341904OtherANTHEM BCBS
79160012OtherCAREFIRST BCBS
VA110191876OtherRAIROAD MEDICARE
187599OtherANTHEM BCBS
334230OtherANTHEM BCBS
VA005644G74Medicare PIN