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NPI Code Detail

MEDICARE: DR. ANDREA R GIACOMETTI MD

MEDICARE: DR. ANDREA R GIACOMETTI 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
12085R0202XDiagnostic Radiology PhysicianMD22146DC
22085R0202XDiagnostic Radiology Physician0101054221VA
32085R0202XDiagnostic Radiology PhysicianD37644MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851367254
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA R GIACOMETTI MD
Provider Business Mailing Address
First Line : 2101 E JEFFERSON ST
Second Line : KAISER PERMANENTE MEDICARE ENROLLMENT
City : ROCKVILLE
State : MD
Zip : 20852-4908
Country : US
Telephone Number : 301-816-2424
Fax Number :
Provider Business Practice Location Address
First Line : 8261 WILLOW OAKS CORPORATE DR
Second Line : KAISER PERMANENTE IMAGING CENTER
City : FAIRFAX
State : VA
Zip : 22031-4512
Country : US
Telephone Number : 703-205-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 12/01/2021

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