Individual
LUANDA GRAZETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2451 UNIVERSITY HOSPITAL DR # 102, MOBILE, AL 36617-2300
(251) 470-5890
(318) 868-6430
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(318) 868-6430
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
49923
AL
207RC0000X
Cardiovascular Disease Physician
G88372
CA
207RC0000X
Cardiovascular Disease Physician
ME147170
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
49923
MEDICAL LICENSE
AL
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
08/27/2010
Last updated
03/10/2025
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