Individual provider · Type 1 NPI

Jacob Carlos Earl Grant, MD

Diagnostic Radiology Physician · St. Louis, MO

NPI number 1639639669 Active

Practice location

510 S Kingshighway Blvd, Dept Radiology
St. Louis, MO 63110-1016

Call (314) 362-7200 Map

Fax (314) 747-4189

Mailing address

9998 Crosspoint Blvd Ste 200
Indianapolis, IN 46256-3307

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X01095875A (IN)

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 1639639669

Jacob Carlos Earl Grant, MD's National Provider Identifier is 1639639669, issued on Mar 25, 2019. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Louis, MO. The record was last updated on Jul 14, 2025.