Provider Demographics
NPI:1427553171
Name:MONTANO, EMIL (DO)
Entity Type:Individual
Prefix:DR
First Name:EMIL
Middle Name:
Last Name:MONTANO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 EXECUTIVE DR STE H
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-4155
Mailing Address - Country:US
Mailing Address - Phone:434-379-1134
Mailing Address - Fax:434-773-6811
Practice Address - Street 1:125 EXECUTIVE DR STE H
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541
Practice Address - Country:US
Practice Address - Phone:434-791-1345
Practice Address - Fax:434-773-6811
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA0116031723207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine