Granados, Juan Luis

Granados, Juan Luis is an individual health care provider with primary practice located at 3024 New Bern Ave Suite 306 - Ob/Gyn, Raleigh NC 27610-1247. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Granados, Juan Luis can be contacted via phone (919) 350-8535.

Contact Information

Primary practice address
3024 New Bern Ave Suite 306 - Ob/Gyn Raleigh NC 27610-1247
Phone: (919) 350-8535
Fax: (919) 350-8310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 30912 North Carolina
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 30912 North Carolina

Profile Details

NPI number 1730199704
LBN Legal business name Granados, Juan Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Feb 6th, 2012 - about 12 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 1730199704 NPPES
North Carolina MEDICAID 8936704

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