Healthcare Provider Details

I. General information

NPI: 1346207982
Provider Name (Legal Business Name): EDDY PIZZANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 BREMO RD SUITE 101
RICHMOND VA
23226-1926
US

IV. Provider business mailing address

5855 BREMO RD SUITE 101
RICHMOND VA
23226-1926
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-3291
  • Fax: 804-285-2637
Mailing address:
  • Phone: 804-288-3291
  • Fax: 804-285-2637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number0101025934
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: