Healthcare Provider Details

I. General information

NPI: 1801847561
Provider Name (Legal Business Name): NESHAN MICHAEL VRANIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 04/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7702 E PARHAM RD SUITE 205
RICHMOND VA
23294-4371
US

IV. Provider business mailing address

PO BOX 28780
RICHMOND VA
23228-8780
US

V. Phone/Fax

Practice location:
  • Phone: 804-346-1515
  • Fax: 804-273-6052
Mailing address:
  • Phone: 804-346-1515
  • Fax: 804-227-6052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101030295
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: