Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAISA GRANT
ActiveTAISA GRANT is a Specialist/Technologist, Other healthcare provider located in BERKELEY, California. NPI 1164913968 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Other · BERKELEY, CA
Registration Details
- NPI Number
- 1164913968
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2018 (8.2311408268648 yrs)
- Last Updated
- May 29, 2018
Practice Information
- Address
-
3200 ADELINE STBERKELEY, CA, 947032407Browse CA providers · Browse ZIP 94703
- Phone
- 5106010203
- Fax
- 5106014002
- Primary Specialty
-
Specialist/Technologist, Other
246Y00000X
- Additional Specialty
- Specialist/Technologist, Other
Other Specialist/Technologist, Other Providers in BERKELEY, CA
| Name | Credential | NPI |
|---|---|---|
| DIANE WILLIAMS | — | 1720862113 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.