Individual provider · Type 1 NPI
Gradie Tshikuna Mbiya
Driver · Franklin, OH
NPI number
1104776285
Active
Practice location
3966 Wilson Farms Blvd
Franklin, OH 45005-3599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1104776285
Gradie Tshikuna Mbiya's National Provider Identifier is 1104776285, issued on Jan 29, 2026. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Franklin, OH. The record was last updated on Jan 29, 2026.