NPI 1275705253

Carlos Javier Glanville Miranda, MD

Practitioner Colon & Rectal Surgery Physician Suffolk, VA

Practice location

Address: 2790 Godwin Blvd STE 305, Suffolk, VA 23434-8158
Phone: (757) 931-4222
Fax: (757) 934-4111

Registered specialties (3)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 0101252033 (VA)

Other Colon & Rectal Surgery providers in Virginia →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 0101252033 (VA)

Other Surgery providers in Virginia →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MT188562 (PA)

Registry record

NPI: 1275705253
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2008
Record last updated: 17 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.