Michael A Granovsky, MD is a
Emergency Medicine physician based in Ft Washington, Maryland. Michael A Granovsky is licensed to practice in Maryland (license number D0046947) and his current practice location is 11711 Livingston Rd, Ft Washington, Maryland. He can be reached at his office (for appointments etc.) via phone at
(301) 203-2250.
NPI number for Michael A Granovsky is 1881655652 and his current mailing address is Po Box 500, Marshall, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881655652.
Physician's Profile
Full Name | Michael A Granovsky |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 11711 Livingston Rd, Ft Washington, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881655652
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 02/09/2012
Medical Identifiers
Medical identifiers for Michael A Granovsky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881655652 | NPI | - | NPPES |
550300100 | Medicaid | MD | |
017158500 | Medicaid | DC | |
76881001 | Other | MD | MARYLAND BLUE SHIELD |
H9140003 | Other | DC | DC BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | D0046947 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael A Granovsky is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael A Granovsky, MD Po Box 500, Marshall, VA 20116-0500 Ph: (301) 686-9010 | Michael A Granovsky, MD 11711 Livingston Rd, Ft Washington, MD 20744-5151 Ph: (301) 203-2250 |
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