Provider Demographics
NPI:1992039762
Name:MCGRANE, SIOBHAN L (MBBCHBAO)
Entity Type:Individual
Prefix:DR
First Name:SIOBHAN
Middle Name:L
Last Name:MCGRANE
Suffix:
Gender:F
Credentials:MBBCHBAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 FELL ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3565
Mailing Address - Country:US
Mailing Address - Phone:443-602-5043
Mailing Address - Fax:
Practice Address - Street 1:DEPT IR JOHNS HOPKINS HOSPITAL
Practice Address - Street 2:600 N WOLFE ST
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-614-6597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDT54792085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology