Grad, Roni

Grad, Roni is an individual health care provider with primary practice located at 535 N Wilmot Rd , Tucson AZ 85711-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Grad, Roni can be contacted via phone (520) 694-9937.

Contact Information

Primary practice address
535 N Wilmot Rd Tucson AZ 85711-2600
Phone: (520) 694-9937
Fax: (520) 694-9917
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 21437 Alabama
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 38210 Arizona

Profile Details

NPI number 1154430205
LBN Legal business name Grad, Roni
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2008 - about 17 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 1154430205 NPPES
Arizona MEDICAID 277071
Arizona MEDICAID 000076613
Arizona MEDICAID 000076400

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