Grady, Robert E

Grady, Robert E is an individual health care provider with primary practice located at 1305 W 18Th St , Sioux Falls SD 57105-0401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Grady, Robert E can be contacted via phone (605) 338-5488.

Contact Information

Primary practice address
1305 W 18Th St Sioux Falls SD 57105-0401
Phone: (605) 338-5488
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4704 South Dakota

Profile Details

NPI number 1568438604
LBN Legal business name Grady, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Apr 17th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568438604 NPPES
Iowa MEDICAID 0529438
Iowa MEDICAID 150724001
Iowa Other 64G78GR
Iowa MEDICAID 756223300
Iowa Other 0006991
Iowa MEDICAID 207219205
Iowa MEDICAID 5707250
Iowa MEDICAID 1632879-01

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