Granite, David Samuel
Granite, David Samuel is an sole proprietor health care provider with primary practice located at 7500 Hanover Pkwy Ste 206 , Greenbelt MD 20770-2009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Granite, David Samuel can be contacted via phone (301) 474-2141.Contact Information
Primary practice address
7500 Hanover Pkwy Ste 206
Greenbelt MD 20770-2009
Phone: (301) 474-2141
Fax: (301) 345-3874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0017572 | Maryland |
Profile Details
| NPI number | 1508866229 |
|---|---|
| LBN Legal business name | Granite, David Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Sep 24th, 2014 - about 10 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 | 1508866229 | NPPES |
| Maryland | Other | 60370006 | BCBS OF NATL CAP |
| Maryland | Other | 1031290 | BCBS OF NATL CAP |
| Maryland | Other | 4051960 | BCBS OF NATL CAP |
| Maryland | Other | 41447001 | BCBS OF NATL CAP |
| Maryland | Other | 522040780 | BCBS OF NATL CAP |
| Maryland | Other | 7975077 | BCBS OF NATL CAP |
| Maryland | Other | 246432 | BCBS OF NATL CAP |
| Maryland | Other | 522040780 | BCBS OF NATL CAP |
| Maryland | Other | 080137996 | BCBS OF NATL CAP |
| Maryland | Other | 735966 | BCBS OF NATL CAP |
| Maryland | Other | 18061012 | BCBS OF NATL CAP |
| Maryland | MEDICAID | 302151300 | BCBS OF NATL CAP |
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