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Contact Information

THOMAS R GRANT, MD
825 FAIRFAX AVE
NORFOLK, VA23507-1914
 Phone: 757-446-5955
 Fax: 757-446-5196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for THOMAS R GRANT · (Male)

NPI # 1427022169
Status Active
Credentials MD
Entity Individual
Enumeration date 02/16/2006
Last updated 01/23/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101036347
  • NC Medicaid 890526K
  • VA Medicaid 005612632
  • VA Medicaid 005624151
  • NC Other 0526K BC/BS
  • VA Other PAR AETNA
  • VA Other 081925 ANTHEM
  • VA Other PAR CIGNA
  • VA Other PAR CORVEL/CORCARE
  • VA Other PAR FIRST HEATLH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
  • VA Other PAR MULTIPLAN
  • VA Other 11025 SENTARA OPTIMA
  • VA Other -002 -003 TRICARE/CHAMPUS
  • VA Other 2180424 UHC/MAMSI
  • VA Other PAR USA MANAGED CARE
  • VA Other PAR VA HEALTH NETWORK
  • VA Other PAR VIRGINIA PREMIER HEALTH
Hospital affiliation(s)
  • SENTARA LEIGH HOSPITAL - (Acute Care)
    830 KEMPSVILLE ROAD
    NORFOLK, VA 23502
  • SENTARA NORFOLK GENERAL HOSPITAL - (Acute Care)
    600 GRESHAM DR
    NORFOLK, VA 23507
  • SENTARA OBICI HOSPITAL - (Acute Care)
    2800 GODWIN BOULEVARD
    SUFFOLK, VA 23439
  • SENTARA PRINCESS ANNE HOSPITAL - (Acute Care)
    2025 GLENN MITCHELL DRIVE
    VIRGINIA BEACH, VA 23456
  • SENTARA VIRGINIA BEACH GENERAL HOSPITAL - (Acute Care)
    1060 FIRST COLONIAL ROAD
    VIRGINIA BEACH, VA 23454
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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