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Contact Information

JAYMES D GRANATA, MD
10105 BANBURRY CROSS DR STE 445
LAS VEGAS, NV89144-6645
 Phone: 702-765-0884
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAYMES D GRANATA · (Male)

NPI # 1073720678
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2007
Last updated 03/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 15569
  • NV Medicaid 1073720678
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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