Grady, Derek William
Grady, Derek William is an individual health care provider with primary practice located at Usnh Guam Bldg #50 Farenholt Ave, Agana Heights GU 96910. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Grady, Derek William can be contacted via phone (671) 344-9340.Contact Information
Primary practice address
Usnh Guam Bldg #50 Farenholt Ave
Agana Heights GU 96910
Phone: (671) 344-9340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0116027479 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101258688 | Virginia |
Profile Details
| NPI number | 1174940027 |
|---|---|
| LBN Legal business name | Grady, Derek William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2014 |
| Last updated | Jun 14th, 2022 - about 4 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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