Individual
DR. GRANT BELDEN HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 541-1758
Mailing address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT216920
PA
2086S0129X
Vascular Surgery Physician
Primary
0101286889
VA
2086S0129X
Vascular Surgery Physician
35.140283
OH
390200000X
Student in an Organized Health Care Education/Training Program
57.248539
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.140283
OHIO MEDICAL LICENSE
OH
01
—
57.248539
OHIO MEDICAL BOARD
OH
05
—
MT216920
—
PA
Enumeration date
06/26/2018
Last updated
07/21/2025
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