Individual provider · Type 1 NPI

Grant Howard Bonavia, MD

Diagnostic Radiology Physician · Bethesda, MD

NPI number 1174618409 Active

Practice location

8901 Wisconsin Ave
Bethesda, MD 20889-0001

Mailing address

4412 Saul Rd
Kensington, MD 20895-3731

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X0101237017 (VA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1174618409

Grant Howard Bonavia, MD's National Provider Identifier is 1174618409, issued on Oct 3, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Bethesda, MD. The record was last updated on Jul 8, 2007.