Healthcare Provider Details
I. General information
NPI: 1063434090
Provider Name (Legal Business Name): STEVEN CRAIG VRANIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/25/2006
Last Update Date: 10/30/2020
Certification Date: 10/30/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7611 FOREST AVE SUITE 100
RICHMOND VA
23229-4946
US
IV. Provider business mailing address
8001 FRANKLIN FARMS DR SUITE 130
RICHMOND VA
23229-5108
US
V. Phone/Fax
- Phone: 804-288-4827
- Fax: 804-288-4494
- Phone: 804-521-5800
- Fax: 804-545-4340
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | 0101047906 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | 0101047906 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: