Samuel Lyle Graham in Louisville - Internal Medicine

Samuel Lyle Graham - NPI 1043376148

Samuel Lyle Graham is a Internal Medicine in Louisville, Kentucky. Samuel Lyle Graham practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Samuel Lyle Graham is 1043376148. The last update date is 2008-06-20.

Samuel Lyle Graham's current location address is 1900 Lonlipman Ct, Louisville, Kentucky. You can contact this provider via phone number 5028976039. The mailing address for Samuel Lyle Graham is 1900 Lonlipman Ct, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Lyle Graham
Address 1900 Lonlipman Ct, Louisville, Kentucky
Phone Number 5028976039
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1043376148
Provider Enumeration Date 2006-12-31
Last Updated Date 2008-06-20

Provider Mailing Address Detail

Address 1900 Lonlipman Ct
City Louisville
State Kentucky (KY)
Post Code 402071732
Phone Number 5028976039
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 18158
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
538148 KY BCBS
64181589 KY --
1061538 KY PASSPORT

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FAQs about Samuel Lyle Graham

What is the Samuel Lyle Graham's 1043376148?

The Samuel Lyle Graham's NPI (National Provider Identifier) Number is 1043376148. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Samuel Lyle Graham's facilities are geographically located?

The facilities of Samuel Lyle Graham are physically situated at the following location: 1900 Lonlipman Ct, Louisville, KY, 402071732.

What is Samuel Lyle Graham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Samuel Lyle Graham is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043376148 to Samuel Lyle Graham?

The Centers for Medicare & Medicaid Services originally issued the 1043376148 to Samuel Lyle Graham on 2006-12-31.

As of what date were the details related to Samuel Lyle Graham most recently updated or revised?

The information pertaining to Samuel Lyle Graham, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-20.

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