Larry C Graham in Wichita - Nuclear Radiology
Larry C Graham - NPI 1023090503
Larry C Graham is a Nuclear Radiology in Wichita, Kansas. Larry C Graham practices all healthcare services and medical treatments related to Nuclear Radiology. 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 |
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Address | 13715 Pinnacle Dr, Wichita, Kansas |
Phone Number | 3167332307 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1023090503 |
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Provider Enumeration Date | 2005-11-18 |
Last Updated Date | 2013-11-20 |
Provider Mailing Address Detail
Address | 13715 Pinnacle Dr |
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City | Wichita |
State | Kansas (KS) |
Post Code | 672301545 |
Phone Number | 3167332307 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nuclear Radiology |
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Taxonomy | 2085N0904X |
Licence No | 04-28763 |
Definition: A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
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 Nuclear Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085N0904X.
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