DR. M.D. Derek William Grady, NPI 1174940027
Diagnostic Radiology Physician in Agana Heights, GU, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1174940027
NPI Entity Type Individual
Provider Name DR. M.D. Derek William Grady
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address Usnh Guam, Bldg #50 Farenholt Ave, Agana Heights, GU, US
Provider Mailing Address Psc 455 Box 208, Fpo, AP, US, 965400003
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 0101258688
License State VA
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. M.D. Derek William Grady
Usnh Guam
Bldg #50 Farenholt Ave

Agana Heights, GU, US

Phone: 671-344-9340

Mailing Address

DR. M.D. Derek William Grady
Psc 455 Box 208
Fpo, AP, US
ZIP 965400003
Phone: 757-953-7550
Fax: 757-953-7560

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208D00000X

Allopathic & Osteopathic Physicians

General Practice

0116027479 VA No

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