MEDICARE: DR. JEFFREY L GRAZIANO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	0103300846	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255328423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY L GRAZIANO DPM

Provider Business Mailing Address
First Line	:	224D CORNWALL ST NW STE 403
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-2704
Country	:	US
Telephone Number	:	703-737-6010
Fax Number	:	703-443-8643

Provider Business Practice Location Address
First Line	:	4660 KENMORE AVE STE 608
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22304-1306
Country	:	US
Telephone Number	:	703-379-0700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	11/29/2022

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