Individual
GRADY KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10810 DARNESTOWN RD STE 205, GAITHERSBURG, MD 20878-2601
(301) 660-8855
Mailing address
9300 CORPORATE BLVD APT 1347, ROCKVILLE, MD 20850-3795
(601) 466-4351
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
H0085308
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2015
Last updated
03/28/2019
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