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NPI Code Detail

MEDICARE: STEVE GRANT MD

MEDICARE: STEVE GRANT MD
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
1152W00000XOptometrist4743T1547OH

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 : 1396782322
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVE GRANT MD
Provider Business Mailing Address
First Line : 2250 N BANK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-5420
Country : US
Telephone Number : 614-451-7550
Fax Number : 614-451-8642
Provider Business Practice Location Address
First Line : 2250 N BANK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-5420
Country : US
Telephone Number : 614-451-7550
Fax Number : 614-451-8642
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 07/08/2007

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Directions to “ STEVE GRANT MD” Practice Location

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