# GIOVANNI AGOSTINO FERRANTE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104818103
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 0101254593 | VA | — |
| 208600000X | Surgery Physician | 48573 | TN | — |
| 208600000X | Surgery Physician | 58121 | MA | — |
| 2086S0129X | Vascular Surgery Physician | 0101254593 | VA | — |
| 2086S0129X | Vascular Surgery Physician | 48573 | TN | — |
| 2086S0129X | Vascular Surgery Physician | 58121 | MA | Yes |

## Other

- **Enumeration date:** 08/17/2005
- **Last updated:** 03/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1104818103 | — | VA |
| 05 | — | 3024393 | — | MA |
| 01 | — | 34698 | FALLON | — |
| 01 | — | J06780 | BC/BS | — |
| 05 | — | Q008560 | — | TN |
| 01 | — | VVB935A | MEDICARE | VA |