MARK JOHN GRANADA MD NPI 1275696718

NPI Information

NPI: 1275696718
Provider Name: MARK JOHN GRANADA, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
9109 MIDDLEFORD ROAD
SEAFORD, DE
ZIP 19973
Phone: (302) 629-9483
Get Directions

Mark John Granada, MD is a pulmonary disease internal medicine in Seaford, DE. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Mark John Granada, MD NPI is 1275696718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9109 MIDDLEFORD ROAD
SEAFORD, DE
ZIP 19973
Phone: (302) 629-9483
Fax: (302) 628-3977

The NPI 1275696718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 11/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		C1-0001675	DELAWARE	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	CI0001675	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	000128601	MEDICAID	DELAWARE
2	D01016	MEDICARE UPIN
3	000001590	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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