Individual
MARY KAY GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(301) 946-5100
(301) 929-0348
Mailing address
11510 GEORGIA AVE, SUITE 206, WHEATON, MD 20902-1925
(301) 946-5100
(301) 929-0348
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD21277
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068
CAREFIRST BCBS
DC
05
—
02392065
—
NY
01
—
102674
KAISER
DC
01
—
2607621
AETNA HMO
DC
01
—
3937773002
CIGNA HMO
DC
01
—
441030
ANTHEM BCBS
VA
01
—
501322
NCPPO
DC
01
—
5261462
CCN
DC
05
—
5704855
—
VA
01
—
5713051
AETNA NON HMO
DC
Enumeration date
07/19/2006
Last updated
07/09/2007
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