National Provider Identifier Database

ANTONIO M GRANDA, MD – NPI #1780624023
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

ANTONIO M GRANDA, MD
46 FAIRVIEW AVE STE 221
SKOWHEGAN, ME04976-1481
Phone: 207-474-6945
Fax: 207-474-6933
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for ANTONIO M GRANDA

NPI Number 1780624023
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 11/04/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • ME License #: MD23009
  • OH License #: 35.143494
  • TN License #: 09565
  • TN License #: 9565
  • KY Medicaid: 64746449
  • TN Medicaid: 1507235
  • TN Medicaid: Q006396
  • TN Other: 4066743 AETNA
  • TN Other: 10074063 AMERIGROUP TNCARE AND AMERIVANTAGE MCR ADVANTAGE
  • TN Other: 3164315 BLUE CROSS OF TN
  • TN Other: 1416751 CIGNA
  • TN Other: 1629728 COVENTRY/FIRST HEALTH
  • TN Other: 100014907 MEDICARE RR
  • TN Other: 12079645 MULTIPLAN/PHCS
  • TN Other: 104697 UNITED HEALTH CARE
  • TN Other: 378643 USA - MCO
  • TN Other: 1100315241 USA PPO/GEHA
Hospital affiliation n/a

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.

Reviews for ANTONIO M GRANDA, MD

There are currently no reviews for ANTONIO M GRANDA, MD


NPIdb - Home
v2.201