Individual
ERIN ELIZABETH COOK GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25835
OK
207U00000X
Nuclear Medicine Physician
079348
GA
207U00000X
Nuclear Medicine Physician
125054015
IL
207U00000X
Nuclear Medicine Physician
C178489
CA
207U00000X
Nuclear Medicine Physician
MD451352
PA
207UN0901X
Nuclear Cardiology Physician
C178489
CA
207UN0902X
Nuclear Imaging & Therapy Physician
C1-0009723
DE
2085N0904X
Nuclear Radiology Physician
Primary
C178489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079348
GA LICENSE
GA
01
—
125054015
ILLINOIS STATE MEDICAL LICENSE
IL
01
—
25835
OKLAHOMA STATE BOARD OF M
OK
01
—
C1-0009723
STATE OF DELAWARE
DE
01
—
C178489
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
07/23/2007
Last updated
04/05/2024
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