Joseph Edward Grady II, M.D.
Individual provider Active NPI Internal Medicine Physician · Milton, WV
NPI 1083737720 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083737720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 19838 (WV)
- Practice address
- 403 Mahoganywood Dr
Milton, WV 25541-1182 - Phone
- (304) 743-1484
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19838 | WV | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19838 | WV | Yes |
Addresses
Primary practice location
403 Mahoganywood Dr
Milton, WV 25541-1182
Mailing address
403 Mahoganywood Dr
Milton, WV 25541-1182
Phone (304) 743-1484
Other providers in Milton, WV
- Michael A Gibson
- Erica Glover
- Tiffany Glover
- Corey Ryan Goodpaster
- Jessica L Goodwin
- Joshua L Grant
- Bianca L Gray
- Stephen L Green Jr.
- Tracy M Grubb
- Dianna Grueser
All providers in Milton, WV · Internal Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.