MEDICARE: DR. MARIANO M PIEDRA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	0101036168	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	260015122	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	087637	OTHER	VA	SENTARA
3	096499	OTHER	VA	BC/BS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	35720	OTHER	VA	MDIPA
6	000408	OTHER	VA	VALUE OPTIONS

General Provider Information

NPI Number	:	1699727099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIANO M PIEDRA MD

Provider Business Mailing Address
First Line	:	9020 STONY POINT PKWY
Second Line	:	STE 240
City	:	RICHMOND
State	:	VA
Zip	:	23235
Country	:	US
Telephone Number	:	804-282-5236
Fax Number	:

Provider Business Practice Location Address
First Line	:	9020 STONY POINT PKWY
Second Line	:	STE 240
City	:	RICHMOND
State	:	VA
Zip	:	23235
Country	:	US
Telephone Number	:	804-282-5236
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	11/18/2024

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Directions to “ DR. MARIANO M PIEDRA MD” Practice Location

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