Graham, John Douglas
Graham, John Douglas is an individual health care provider with primary practice located at 5330 E Stop 11 Rd , Indianapolis IN 46237-6345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Graham, John Douglas can be contacted via phone (317) 893-1900.Contact Information
Primary practice address
5330 E Stop 11 Rd
Indianapolis IN 46237-6345
Phone: (317) 893-1900
Fax: (317) 893-1869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01032454A | Indiana |
Profile Details
| NPI number | 1669443198 |
|---|---|
| LBN Legal business name | Graham, John Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Mar 20th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669443198 | NPPES |
| Indiana | MEDICAID | 100324180A |
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