Individual
DR. ANDREA R GIACOMETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8261 WILLOW OAKS CORPORATE DR, KAISER PERMANENTE IMAGING CENTER, FAIRFAX, VA 22031-4512
(703) 205-3600
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101054221
VA
2085R0202X
Diagnostic Radiology Physician
D37644
MD
2085R0202X
Diagnostic Radiology Physician
MD22146
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200617
—
VA
Enumeration date
02/24/2006
Last updated
12/01/2021
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