Edmundo Manuel Grab, M.D. – Legal Medicine

Key facts

NPI: 1790786457
Entity type: Individual (NPI type 1)
Primary specialty: Legal Medicine 173000000X
License: MD016323E (PA)
Practice address: 1701 12TH Ave
Building a
Altoona, PA 16601-3100
Phone: (814) 944-7097
Fax: (814) 944-5557
NPI assigned: Aug 3, 2005
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Windber Hospital, Inc. General Acute Care Hospital · Windber, PA · NPI 1275620536

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MD016323E	PA	MD	Legal Medicine

Practice roles

Organization	Specialty	Status	New patients
Windber Hospital, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Legal Medicine	173000000X	MD016323E	PA	Yes

Addresses

Primary practice location

1701 12TH Ave
Building a
Altoona, PA 16601-3100

Mailing address

1701 12TH Ave
Building a
Altoona, PA 16601-3100
Phone (814) 944-7097

Other identifiers

Identifier	Type	State	Issuer
0006902800003	Medicaid	PA

Other providers in Altoona, PA

All providers in Altoona, PA · Legal Medicine in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.

Verify at the official NPI Registry.