Healthcare Provider Details

I. General information

NPI: 1801112479
Provider Name (Legal Business Name): MARK GRABILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7240 PATTERSON AVE STE 100
HENRICO VA
23229-6751
US

IV. Provider business mailing address

7240 PATTERSON AVE STE 100
HENRICO VA
23229-6751
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-4205
  • Fax: 804-673-6432
Mailing address:
  • Phone: 804-282-4205
  • Fax: 804-673-6432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101253282
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: