Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARLOS JAVIER GLANVILLE MIRANDA, M.D.
Active Sole ProprietorColon & Rectal Surgery · SUFFOLK, VA
Registration Details
- NPI Number
- 1275705253
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2008 (18.060184038928 yrs)
- Last Updated
- Feb 17, 2022
- Licenses
-
0101252033 (VA)MT188562 (PA)0101252033 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2790 GODWIN BLVD STE 305SUFFOLK, VA, 234348158Browse VA providers · Browse ZIP 23434
- Phone
- 7579314222
- Fax
- 7579344111
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- General Surgery
- Additional Specialty
- Colon & Rectal Surgery
Other Colon & Rectal Surgery Providers in SUFFOLK, VA
| Name | Credential | NPI |
|---|---|---|
| RAY THOMAS RAMIREZ | M.D. | 1912960352 |
| DR. JOSEPH LAWRENCE FRENKEL | M.D. | 1679765804 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.