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Individual

OSCAR H. GRANDAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1940 ALCOA HWY, STE E 120, KNOXVILLE, TN 37920
(865) 305-8040
(865) 305-8041
Mailing address
PO BOX 440265, NASHVILLE, TN 37244-0265
(865) 670-6199
(865) 670-6198

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
38851
TN
2086S0129X
Vascular Surgery Physician
Primary
38851
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1517043
TN
Enumeration date
08/25/2006
Last updated
06/06/2018
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