Granovsky, Michael A

Granovsky, Michael A is an individual health care provider with primary practice located at 11711 Livingston Rd , Ft Washington MD 20744-5151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Granovsky, Michael A can be contacted via phone (301) 203-2250.

Contact Information

Primary practice address
11711 Livingston Rd Ft Washington MD 20744-5151
Phone: (301) 203-2250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0046947 Maryland

Profile Details

NPI number 1881655652
LBN Legal business name Granovsky, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Feb 9th, 2012 - about 13 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 1881655652 NPPES
Maryland MEDICAID 550300100
Maryland MEDICAID 017158500
Maryland Other 76881001
Maryland Other H9140003

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