Grady, Victoria E
Grady, Victoria E is an individual health care provider with primary practice located at 8051 Prosperity Way Ste 100 , Ruther Glen VA 22546. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Grady, Victoria E can be contacted via phone (804) 448-0198.Contact Information
Primary practice address
8051 Prosperity Way Ste 100
Ruther Glen VA 22546
Phone: (804) 448-0198
Fax: (804) 448-0598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 95-00597 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101053568 | Virginia |
Profile Details
| NPI number | 1043275852 |
|---|---|
| LBN Legal business name | Grady, Victoria E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Aug 28th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043275852 | NPPES |
| Virginia | Other | 021044C18 | MEDICARE PTAN |
| Virginia | MEDICAID | 010339413 | MEDICARE PTAN |
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