Darrel Grant
Individual provider Active NPI Driver · Southfield, MI
NPI 1447599451 · NPPES record last updated Feb 11, 2013
Key facts
- NPI
- 1447599451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 25140 Lahser Rd Ste 203a
Southfield, MI 48033-6311 - Phone
- (248) 252-8806
- NPI assigned
- Feb 11, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHCS | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | MI | Yes |
Addresses
Primary practice location
25140 Lahser Rd Ste 203a
Southfield, MI 48033-6311
Mailing address
25140 Lahser Rd Ste 203a
Southfield, MI 48033-6311
Phone (248) 252-8806
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2013. 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.