person
Dr. Wayne Stuart Gradman, MD
Vascular Surgery Physician in Beverly Hills, California
NPI 1104934199

Wayne Stuart Gradman is a Vascular Surgery Physician based in Beverly Hills, CA and is specialized in Vascular Surgery. Wayne Stuart Gradman practices in Beverly Hills, CA and has the professional credentials of MD. The NPI Number for Wayne Stuart Gradman is 1104934199 and holds a License No. G17696 (California).

The current practice location address for Wayne Stuart Gradman is 235 S Mccarty Dr, Beverly Hills, CA and can be reached out via phone at 424-653-8560 and via fax at 310-277-5045.

Location: 235 S Mccarty Dr, Beverly Hills, CA, 90212-3701
person
Provider Profile Details
NPI Number
1104934199
Provider Name
Wayne Stuart Gradman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
235 S Mccarty Dr, Beverly Hills, CA, 90212-3701
Phone Number
424-653-8560
Fax Number
310-277-5045
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G176960 01 CA MEDI-CAL PROVIDER NUMBER
WG17696D 01 CA MEDICARE PERFORMING PROV
institution
Provider Business Practice Location Address Details
Address
235 S Mccarty Dr
City
State
Zip
90212-3701
Phone Number
424-653-8560
Fax Number
310-277-5045
person
Provider Business Mailing Address Details
Address
235 S Mccarty Dr
City
State
Zip
90212-3701
Phone Number
424-653-8560
Fax Number
310-277-5045
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
G17696 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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