Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRADY LYNN JETER, M.D.
Active Sole ProprietorGRADY LYNN JETER, M.D. is a Specialist healthcare provider located in SAN JOSE, California. NPI 1760584510 is currently active in the NPPES registry. Verify at CMS.
Specialist · SAN JOSE, CA
Registration Details
- NPI Number
- 1760584510
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2006 (19.928955094374 yrs)
- Last Updated
- Nov 4, 2010
- License
-
C30088 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2430 SAMARITAN DRSAN JOSE, CA, 951243907Browse CA providers · Browse ZIP 95124
- Phone
- 4085594343
- Fax
- 4083716387
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SHAHID K SIDDIQUI | MD | 1922005636 |
| DR. LAN TUYET NGUYEN | M.D. | 1174516264 |
| ATHIYA D JAVID | MD | 1932183159 |
| DR. DONALD JAMES PROLO | M.D. | 1467420976 |
| DR. DAYTON STANLEY MISFELDT | M.D. | 1982667846 |
| NARISSE KENDRICK | M.D. | 1205893286 |
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.