Gordon D Graham in Chattanooga - Nuclear Cardiology
Gordon D Graham - NPI 1629077011
Gordon D Graham is a Nuclear Cardiology in Chattanooga, Tennessee. Gordon D Graham practices all healthcare services and medical treatments related to Nuclear Cardiology. The NPI Number for Gordon D Graham is 1629077011. The last update date is 2013-05-02.
Gordon D Graham's current location address is 2501 Citico Ave, Chattanooga, Tennessee. You can contact this provider via phone number 4236972000 and fax number 4236972118. The mailing address for Gordon D Graham is 2501 Citico Ave, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon D Graham |
|---|---|
| Address | 2501 Citico Ave, Chattanooga, Tennessee |
| Phone Number | 4236972000 |
| Fax Number | 4236972118 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629077011 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2013-05-02 |
Provider Mailing Address Detail
| Address | 2501 Citico Ave |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 3740411270 |
| Phone Number | 4236972000 |
| Fax Number | 4236972118 |
Provider's Primary Taxonomy Detail
| Speciality | Nuclear Cardiology |
|---|---|
| Taxonomy | 207Un0901X |
| Licence No | 22198 |
|
Definition: A nuclear medicine physician who specializes in nuclear cardiology. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3066351 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gordon D Graham by the Centers for Medicare & Medicaid Services?
The Gordon D Graham has been issued the NPI (National Provider Identifier) 1629077011, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gordon D Graham's facilities are geographically located?
The facilities of Gordon D Graham are physically situated at the following location: 2501 Citico Ave, Chattanooga, TN, 3740411270.
What is Gordon D Graham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gordon D Graham's specialized field of practice is Nuclear Cardiology, and the corresponding taxonomy code that categorizes this area of specialization is 207Un0901X.
On what date did Gordon D Graham receive its 1629077011 assignment from the Centers for Medicare & Medicaid Services?
The Gordon D Graham was assigned its 1629077011 on 2005-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gordon D Graham's details last updated?
The information pertaining to the Gordon D Graham, including its address, specialty, and other details, was most recently updated on 2013-05-02.