Individual
DR. ERIK GABRIEL GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9384 FORESTWOOD LANE, MANASSAS, VA 20110
(703) 369-2999
(703) 369-3118
Mailing address
14419 NORTH SLOPE STREET, CENTREVILLE, VA 20120
(703) 988-0319
(703) 369-3118
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101221378
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00670558
—
VA
Enumeration date
09/26/2006
Last updated
07/08/2007
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