Larry C Graham is a Body Imaging in Wichita, Kansas. Larry C Graham practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Larry C Graham is 1023090503. The last update date is 2013-11-20.
Larry C Graham's current location address is 13715 Pinnacle Dr, Wichita, Kansas. You can contact this provider via phone number 3167332307. The mailing address for Larry C Graham is 13715 Pinnacle Dr, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry C Graham |
|---|---|
| Address | 13715 Pinnacle Dr, Wichita, Kansas |
| Phone Number | 3167332307 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023090503 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2013-11-20 |
Provider Mailing Address Detail
| Address | 13715 Pinnacle Dr |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672301545 |
| Phone Number | 3167332307 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
| Licence No | 04-28763 |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100420330C | KS | -- | |
| 100173090A | OK | -- | |
| 1023090503 | MO | -- | |
| 300132252 | KS | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larry C Graham by the Centers for Medicare & Medicaid Services?
The Larry C Graham has been assigned the NPI (National Provider Identifier) 1023090503 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Larry C Graham is geographically located?
The Larry C Graham is physically situated at the following location: 13715 Pinnacle Dr, Wichita, KS, 672301545.
What is Larry C Graham's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry C Graham is Body Imaging, and the taxonomy classification code that categorizes this area of expertise is 2085B0100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023090503 to Larry C Graham?
The Centers for Medicare & Medicaid Services assigned the 1023090503 to Larry C Graham on 2005-11-18.
When was the information pertaining to Larry C Graham most recently updated or revised?
The details related to Larry C Graham, including its address, specialty, and other relevant information, were last updated or revised on 2013-11-20.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH