IndividualActive
Donad Gray, 2472000X
NPI 1164564589 · Other Technician · Washington, DC
Provider details
- NPI number
- 1164564589
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- 2472000X
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
Comdt Cg-1122 Uscg
2100 2nd Street Southwest, Suite 5314
Washington, DC 20593-0001
Phone: (202) 267-0801
Approximate (ZIP-level) locationGet directions
Mailing address
129 Schooner Dr
Hampton, VA 23669-1031
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.