Healthcare Provider Details

I. General information

NPI: 1528011608
Provider Name (Legal Business Name): ROGER GREGORY GIORDANO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 FITZHUGH AVE
RICHMOND VA
23226-1800
US

IV. Provider business mailing address

PO BOX 388
FISHERSVILLE VA
22939-0388
US

V. Phone/Fax

Practice location:
  • Phone: 804-673-4421
  • Fax: 804-673-4485
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number0101229732
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: