Grady, Derek William

Grady, Derek William is an individual health care provider with primary practice located at Usnh Guam Bldg #50 Farenholt Ave, Agana Heights GU 96910. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Grady, Derek William can be contacted via phone (671) 344-9340.

Contact Information

Primary practice address
Usnh Guam Bldg #50 Farenholt Ave Agana Heights GU 96910
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0116027479 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101258688 Virginia

Profile Details

NPI number 1174940027
LBN Legal business name Grady, Derek William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2014
Last updated Jun 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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