Healthcare Provider Details

I. General information

NPI: 1407541030
Provider Name (Legal Business Name): GIANNA MYERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VCUHS DEPT OF PEDIATRICS 1250 E MARSHALL STREET
RICHMOND VA
23298-0264
US

IV. Provider business mailing address

PO BOX 980257
RICHMOND VA
23298-0257
US

V. Phone/Fax

Practice location:
  • Phone: 804-827-0534
  • Fax:
Mailing address:
  • Phone: 804-828-9783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101289730
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: