Individual
CHARLES E GIANGARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL CENTER DR STE 1600, HUNTINGTON, WV 25701-3656
(304) 691-1262
Mailing address
1600 MEDICAL CENTER DR STE G500, HUNTINGTON, WV 25701-3659
(304) 691-1262
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21528
WV
207X00000X
Orthopaedic Surgery Physician
ME135821
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
21528
WV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME135821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184000
—
FL
05
—
2007525000
—
WV
05
—
2478028
—
OH
05
—
64077654
—
KY
Enumeration date
03/21/2006
Last updated
11/17/2021
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