Graham, Larry C
Graham, Larry C is an individual health care provider with primary practice located at 3600 E Harry St , Wichita KS 67218-3713. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Graham, Larry C can be contacted via phone (316) 689-5050.Contact Information
Primary practice address
3600 E Harry St
Wichita KS 67218-3713
Phone: (316) 689-5050
Fax: (316) 689-6192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 04-28763 | Kansas |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 04-28763 | Kansas |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 04-28763 | Kansas |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 04-28763 | Kansas |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 04-28763 | Kansas |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 04-28763 | Kansas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 04-28763 | Kansas |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 04-28763 | Kansas |
Profile Details
| NPI number | 1023090503 |
|---|---|
| LBN Legal business name | Graham, Larry C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Nov 20th, 2013 - about 12 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 | 1023090503 | NPPES |
| Kansas | MEDICAID | 100420330C | |
| Kansas | MEDICAID | 100173090A | |
| Kansas | MEDICAID | 1023090503 | |
| Kansas | Other | 300132252 |
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