Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mica Dianna Grantham

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1336433390

Mica Dianna Grantham is a Pathology in Washington, District of Columbia. Graduated from Howard University College of Medicine in 2011, 15 years ago. Practices with Howard University, a 182-clinician group and accepts Medicare assignment. Licensed in District of Columbia, Delaware and Pennsylvania.

Years since qualifying
15
Trained at
Howard University College of Medicine
Licensed in
DC, DE, PA
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

2041 Georgia Avenue NW 1M05
Washington, DC 20060-0001
Phone: (202) 865-1354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence MD210002279 (DC)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence C1-0011207 (DE)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MD453773 (PA)

Record details

NPI number1336433390
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2011
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Howard University — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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