Granados, Erik Gabriel
Granados, Erik Gabriel is an individual health care provider with primary practice located at 9384 Forestwood Lane , Manassas VA 20110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Granados, Erik Gabriel can be contacted via phone (703) 369-2999.Contact Information
Primary practice address
9384 Forestwood Lane
Manassas VA 20110
Phone: (703) 369-2999
Fax: (703) 369-3118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101221378 | Virginia |
Profile Details
| NPI number | 1376644971 |
|---|---|
| LBN Legal business name | Granados, Erik Gabriel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1376644971 | NPPES |
| Virginia | MEDICAID | 00670558 |
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