Individual
DR. DEREK WILLIAM GRADY
Active
Individual
DR. DEREK WILLIAM GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
14212374-1205
UT
2085R0202X
Diagnostic Radiology Physician
0101258688
VA
2085R0202X
Diagnostic Radiology Physician
Primary
14212374-1205
UT
208D00000X
General Practice Physician
0116027479
VA
Other
Enumeration date
03/27/2014
Last updated
03/06/2026
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