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NPI Code Detail

MEDICARE: MR. RYAN HARNED GRANT M.D.

MEDICARE: MR. RYAN HARNED GRANT M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1083355564
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RYAN HARNED GRANT M.D.
Provider Business Mailing Address
First Line : UCONN HEALTH - DEPT OF ANESTHESIOLOGY
Second Line : 263 FARMINGTON AVENUE
City : FARMINGTON
State : CT
Zip : 06030
Country : US
Telephone Number : 603-918-7279
Fax Number : 860-679-1275
Provider Business Practice Location Address
First Line : 263 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06030-0001
Country : US
Telephone Number : 860-679-3600
Fax Number : 860-679-1275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 02/19/2026

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