MEDICARE: GAIL GRANOF WARNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D0053480	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548260797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL GRANOF WARNER MD

Provider Business Mailing Address
First Line	:	15225 SHADY GROVE RD
Second Line	:	#304
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-3254
Country	:	US
Telephone Number	:	301-840-0660
Fax Number	:	301-330-7583

Provider Business Practice Location Address
First Line	:	10401 OLD GEORGETOWN RD STE 200
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-1911
Country	:	US
Telephone Number	:	240-630-8882
Fax Number	:	240-800-4708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	03/06/2025

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Directions to “ GAIL GRANOF WARNER MD” Practice Location

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