Grad, Michael Scott
Grad, Michael Scott is an individual health care provider with primary practice located at 2200 Park Bend Dr Bldg 1 Suite 401, Austin TX 78758-5387. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Grad, Michael Scott can be contacted via phone (512) 615-9901.Contact Information
Primary practice address
2200 Park Bend Dr Bldg 1 Suite 401
Austin TX 78758-5387
Phone: (512) 615-9901
Fax: (512) 807-3335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | L4956 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | L4956 | Texas |
Profile Details
| NPI number | 1386629012 |
|---|---|
| LBN Legal business name | Grad, Michael Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2005 |
| Last updated | May 16th, 2023 - about 3 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 | 1386629012 | NPPES |
| Texas | Other | P00246014 | MEDICARE RAILROAD |
| Texas | MEDICAID | 715793201 | MEDICARE RAILROAD |
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