Healthcare Provider Details

I. General information

NPI: 1942318886
Provider Name (Legal Business Name): CHRISTOPHER SCOTT GRADY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 GORDON GUTMANN BLVD STE 201
JEFFERSONVILLE IN
47130-3766
US

IV. Provider business mailing address

301 GORDON GUTMANN BLVD STE 201
JEFFERSONVILLE IN
47130
US

V. Phone/Fax

Practice location:
  • Phone: 812-282-6114
  • Fax: 812-282-6340
Mailing address:
  • Phone: 812-282-6114
  • Fax: 812-282-6340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01054601A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: