Randal Oliver Graham in Knoxville - Vascular Surgery
Randal Oliver Graham - NPI 1710094180
Randal Oliver Graham is a Vascular Surgery in Knoxville, Tennessee. Randal Oliver Graham practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Randal Oliver Graham is 1710094180. The last update date is 2013-10-10.
Randal Oliver Graham's current location address is 1819 W Clinch Ave Ste 200, Knoxville, Tennessee. You can contact this provider via phone number 8655243695 and fax number 8656023528. The mailing address for Randal Oliver Graham is 1819 W Clinch Ave Ste 200, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randal Oliver Graham |
|---|---|
| Address | 1819 W Clinch Ave Ste 200, Knoxville, Tennessee |
| Phone Number | 8655243695 |
| Fax Number | 8656023528 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710094180 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2013-10-10 |
Provider Mailing Address Detail
| Address | 1819 W Clinch Ave Ste 200 |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379162435 |
| Phone Number | 8655243695 |
| Fax Number | 8656023528 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | MD17921 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3026054 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Randal Oliver Graham by the Centers for Medicare & Medicaid Services?
The Randal Oliver Graham has been assigned the NPI (National Provider Identifier) 1710094180 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Randal Oliver Graham's facilities are geographically located?
The facilities of Randal Oliver Graham are physically situated at the following location: 1819 W Clinch Ave Ste 200, Knoxville, TN, 379162435.
What is Randal Oliver Graham's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randal Oliver Graham's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date did the Randal Oliver Graham receive its 1710094180 assignment from the Centers for Medicare & Medicaid Services?
The Randal Oliver Graham was assigned its 1710094180 by the Centers for Medicare & Medicaid Services on 2006-08-23.
When was the information related to Randal Oliver Graham most recently updated or refreshed?
The details pertaining to the Randal Oliver Graham, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-10-10.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX