Provider Demographics
NPI:1437788221
Name:MEDRANO GARCIA, FELIX I (MD)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:I
Last Name:MEDRANO GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:FELIX
Other - Middle Name:I
Other - Last Name:MEDRANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4231 ROUND HILL DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-7845
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4231 ROUND HILL DR
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-7845
Practice Address - Country:US
Practice Address - Phone:862-571-3178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101282765207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology