Individual
DR. DAVID SAMUEL GRANITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7500 HANOVER PKWY STE 206, GREENBELT, MD 20770-2009
(301) 474-2141
(301) 345-3874
Mailing address
7500 HANOVER PKWY STE 206, GREENBELT, MD 20770-2009
(301) 474-2141
(301) 345-3874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0017572
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080137996
MEDICARE RR
MD
01
—
1031290
AFFORDABLE/1ST HEALTH
MD
01
—
18061012
UNITED HEALTH
MD
01
—
246432
MAMSI
MD
05
—
302151300
—
MD
01
—
4051960
AETNA PPO
MD
01
—
41447001
BCBS OF MD
MD
01
—
522040780
PHCS
MD
01
—
60370006
BCBS OF NATL CAP
MD
01
—
735966
AETNA HMO
MD
01
—
7975077
CIGNA
MD
Enumeration date
07/22/2005
Last updated
09/24/2014
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