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General NPI Number Information
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NPI Number | 1013223064
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Entity Type | Individual
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Provider Name | LUANDA GRAZETTE M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 2451 UNIVERSITY HOSPITAL DR # 102
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City | MOBILE
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State | AL
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Zip | 36617-2300
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Country | US
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Telephone | 251-470-5890
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Fax | 318-868-6430
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Provider Business Mailing Address
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Address Line | PO BOX 746450
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City | ATLANTA
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State | GA
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Zip | 30374-6450
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Country | US
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Telephone | 866-401-3057
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Fax | 318-868-6430
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G88372
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME147170
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 49923
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License Number State | AL
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