Provider Demographics
NPI:1104821420
Name:GIRO, EVA (MD)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:
Last Name:GIRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 449
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-0449
Mailing Address - Country:US
Mailing Address - Phone:740-374-4500
Mailing Address - Fax:740-374-5887
Practice Address - Street 1:320 E 8TH ST STE 141
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3382
Practice Address - Country:US
Practice Address - Phone:740-374-5580
Practice Address - Fax:740-374-6266
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35076001207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV6000966000Medicaid
OH2168676Medicaid
OH2168676Medicaid
OH000000699801OtherANTHEM
OH000000699801OtherANTHEM
OH7419391Medicare PIN
OH0890563Medicare PIN