Grady, Patrick

Grady, Patrick is an individual health care provider with primary practice located at 746 Jefferson Ave , Scranton PA 18510-1624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Grady, Patrick can be contacted via phone (570) 346-7797.

Contact Information

Primary practice address
746 Jefferson Ave Scranton PA 18510-1624
Phone: (570) 346-7797
Fax: (570) 342-9802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD032741E Pennsylvania

Profile Details

NPI number 1598741886
LBN Legal business name Grady, Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 19th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598741886 NPPES
Pennsylvania MEDICAID 0011278280001
Pennsylvania Other 050015093

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