Provider Demographics
NPI:1427215854
Name:GIANNOTTO, RICHARD PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PAUL
Last Name:GIANNOTTO
Suffix:
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 1:908 DIVISION ST APT 1612
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5785
Mailing Address - Country:US
Mailing Address - Phone:202-779-5780
Mailing Address - Fax:
Practice Address - Street 1:8201 GREENSBORO DR
Practice Address - Street 2:SUITE 609
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22102-3810
Practice Address - Country:US
Practice Address - Phone:703-556-4247
Practice Address - Fax:703-556-4027
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-22
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01080886A208600000X
FLME143243208600000X
VA34178204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty