Individual
NANCY DIAZGRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 CENTER DR, 10CRC/1-3449 MSC 1108, BETHESDA, MD 20892-1108
(301) 496-7515
(301) 402-0445
Mailing address
2324 W JOPPA RD, SUITE 200, LUTHERVILLE, MD 21093-4615
(410) 583-2623
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D74588
MD
2084P0800X
Psychiatry Physician
MD430744
PA
208U00000X
Clinical Pharmacology Physician
D74588
MD
208U00000X
Clinical Pharmacology Physician
MD430744
PA
Other
Enumeration date
05/05/2007
Last updated
09/20/2013
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