Granite, David Samuel

Granite, David Samuel is an sole proprietor health care provider with primary practice located at 7500 Hanover Pkwy Ste 206 , Greenbelt MD 20770-2009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Granite, David Samuel can be contacted via phone (301) 474-2141.

Contact Information

Primary practice address
7500 Hanover Pkwy Ste 206 Greenbelt MD 20770-2009
Phone: (301) 474-2141
Fax: (301) 345-3874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0017572 Maryland

Profile Details

NPI number 1508866229
LBN Legal business name Granite, David Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Sep 24th, 2014 - about 12 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 1508866229 NPPES
Maryland Other 60370006 BCBS OF NATL CAP
Maryland Other 1031290 BCBS OF NATL CAP
Maryland Other 4051960 BCBS OF NATL CAP
Maryland Other 41447001 BCBS OF NATL CAP
Maryland Other 522040780 BCBS OF NATL CAP
Maryland Other 7975077 BCBS OF NATL CAP
Maryland Other 246432 BCBS OF NATL CAP
Maryland Other 522040780 BCBS OF NATL CAP
Maryland Other 080137996 BCBS OF NATL CAP
Maryland Other 735966 BCBS OF NATL CAP
Maryland Other 18061012 BCBS OF NATL CAP
Maryland MEDICAID 302151300 BCBS OF NATL CAP

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