Basic Information
Provider Information
NPI: 1548332208
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BISCARDI
FirstName: FRANK
MiddleName: HUGO
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 777 EMMAEUS RD
Address2:  
City: AFTON
State: VA
PostalCode: 229201820
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1906 BELLEVIEW AVE SE
Address2:  
City: ROANOKE
State: VA
PostalCode: 240141838
CountryCode: US
TelephoneNumber: 5409817000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/15/2006
LastUpdateDate: 07/21/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/21/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RS0012X0101049118VAN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RP1001X0101049118VAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X0101049118VAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

ID Information
IDTypeStateIssuerDescription
01040271905VA MEDICAID
01039706505VA MEDICAID


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