Individual
DR. GRANT GOLDEN
Active
Individual
DR. GRANT GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1456351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026747601
UNIVERA
—
01
—
000267U7602
UNIVERA
—
01
—
000506026002
BLUE SHIELD OF WESTERN NY
—
01
—
000506026004
BLUE SHIELD OF WESTERN NY
—
05
—
01257010
—
NY
01
—
1456359W
WORKERS COMPENSATION
—
01
—
149932FF
PREFERRED CARE
—
01
—
300137709
RAILROAD MEDICARE
—
01
—
5608638
INDEPENDANT HEALTH
—
Enumeration date
08/01/2006
Last updated
06/14/2013
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