IndividualActive
Antonio Granda, M.D.
NPI 1780624023 · Gastroenterology Physician · Skowhegan, ME
Provider details
- NPI number
- 1780624023
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 09565 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
46 Fairview Ave Ste 221
Skowhegan, ME 04976-1481
Phone: (207) 474-6945
Fax: (207) 474-6933
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 468
Skowhegan, ME 04976-0468
Additional practice locations (2)
- 10600 Montgomery RdMontgomery, OH 45242-4463Phone: (513) 794-5600
- 4230 Harding RdSuite 400Nashville, TN 37205-2013Phone: (615) 297-2700Fax: (615) 269-4584
Registry dates
- Enumerated
- 2006-06-07
- Last updated
- 2021-11-04
- Certified
- 2021-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.