GRADY KAISER

GAITHERSBURG, MD
NPI1932587763
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: MD  H0085308)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-05-13
Last Update Date2019-03-28
Business Address
GRADY KAISER D.O.
10810 DARNESTOWN RD STE 205
GAITHERSBURG, MD 20878-2601
Phone number: 301-660-8855
Mailing Address
GRADY KAISER D.O.
9300 CORPORATE BLVD APT 1347
ROCKVILLE, MD 20850-3795
Phone number: 601-466-4351
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