NPI 1043471568 · live from the CMS NPI Registry
Eldesia Labren Granger, MD
Internal Medicine in Mc Lean, VA. National Provider Identifier 1043471568, active.
NPI record
| NPI | 1043471568 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 7918 Jones Branch Dr Fl 4, Mc Lean, VA 22102 |
| Practice phone | 703-424-9024 |
| Mailing address | 2800 Eisenhower Ave Ste 220, Alexandria, VA 22314 |
| Enumerated | June 18, 2008 |
| Last updated | January 20, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Acute Care Hospital | 282N00000X | D0075137 (MD) |
| Preventive Medicine, Public Health & General Preventive Medicine | 2083P0901X | 0101256984 (VA) |
| Internal Medicine primary | 207R00000X | 0101256984 (VA) |
| Pediatrics | 208000000X | 0101256984 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.