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NPI Code Detail

MEDICARE: GRANT H. LOUIE M.D.

MEDICARE:   GRANT H. LOUIE  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
1207RR0500XRheumatology PhysicianA80795CA
2207RR0500XRheumatology PhysicianD71182MD
3207RR0500XRheumatology PhysicianD0071182MD

Other Identifiers

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

General Provider Information

NPI Number : 1306013214
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRANT H. LOUIE M.D.
Provider Business Mailing Address
First Line : 2730 UNIVERSITY BLVD W STE 310
Second Line :
City : WHEATON
State : MD
Zip : 20902-1990
Country : US
Telephone Number : 301-942-7600
Fax Number : 301-942-3132
Provider Business Practice Location Address
First Line : 2730 UNIVERSITY BLVD W STE 310
Second Line :
City : WHEATON
State : MD
Zip : 20902-1990
Country : US
Telephone Number : 301-942-7600
Fax Number : 301-942-3132
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2008
Last Update Date : 09/27/2022

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1881838902 — MR. MATTHEW PHILIP REED MPT
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1093135113 — NITASHA KUMAR M.D.
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1568857167 — VIKTORIA ELKIS
Practice Location Address:
2730 UNIVERSITY BLVD W STE 310
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Practice Fax: 301-942-3132

Directions to “ GRANT H. LOUIE M.D.” Practice Location

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