DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. COLIN MICHAEL GRANT, D.O.

Active

DR. COLIN MICHAEL GRANT, D.O. is a Family Medicine healthcare provider located in LAKE RIDGE, Virginia. NPI 1790912368 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LAKE RIDGE, VA

Registration Details

NPI Number
1790912368
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2009 (17.138289596762 yrs)
Last Updated
Jan 18, 2022
License
0102202700 (VA)

Practice Information

Address
2199 OLD BRIDGE RD
LAKE RIDGE, VA, 221922911
Browse VA providers · Browse ZIP 22192
Phone
7033579707
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LAKE RIDGE, VA

Name Credential NPI
DR. FETNAT FAYE MASRI-IMADI MD 1922158716
DR. FARIHA TARIQ M.D. 1023320926
NORA HASSAN 1306336151
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.