Glanville Miranda, Carlos Javier

Glanville Miranda, Carlos Javier is an sole proprietor health care provider with primary practice located at 2790 Godwin Blvd Ste 305 , Suffolk VA 23434-8158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Glanville Miranda, Carlos Javier can be contacted via phone (757) 931-4222.

Contact Information

Primary practice address
2790 Godwin Blvd Ste 305 Suffolk VA 23434-8158
Phone: (757) 931-4222
Fax: (757) 934-4111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101252033 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X MT188562 Pennsylvania
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 0101252033 Virginia

Profile Details

NPI number 1275705253
LBN Legal business name Glanville Miranda, Carlos Javier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2008
Last updated Feb 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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