Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICA DIANNA GRANTHAM
ActiveMICA DIANNA GRANTHAM is a Anatomic Pathology & Clinical Pathology healthcare provider located in WASHINGTON, Washington D.C.. NPI 1336433390 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology & Clinical Pathology · WASHINGTON, DC
Registration Details
- NPI Number
- 1336433390
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2011 (15.163253488965 yrs)
- Last Updated
- Feb 2, 2023
- Licenses
-
C1-0011207 (DE)MD453773 (PA)MD210002279 (DC)
Practice Information
- Address
-
2041 GEORGIA AVENUE, NW1M05WASHINGTON, DC, 200600001Browse DC providers · Browse ZIP 20060
- Phone
- 2028651354
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in WASHINGTON, DC
| Name | Credential | NPI |
|---|---|---|
| BHASKAR KALLAKURY | — | 1245239771 |
| DAVID GARVIN | — | 1548252398 |
| ERIC LI | MD | 1164419826 |
| DHRUV KUMAR AGRAWAL | MD | 1659361186 |
| TOM DENG | MD | 1427048966 |
| THOMAS A GODWIN | MD | 1316937857 |
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.