Graham, Mark Leo

Graham, Mark Leo is an individual health care provider with primary practice located at 210 Ashville Ave Ste 440 , Cary NC 27518-6600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Graham, Mark Leo can be contacted via phone (919) 350-8585.

Contact Information

Primary practice address
210 Ashville Ave Ste 440 Cary NC 27518-6600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39812 North Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 39812 North Carolina

Profile Details

NPI number 1760481667
LBN Legal business name Graham, Mark Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Nov 9th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760481667 NPPES
North Carolina MEDICAID 89138AH
North Carolina MEDICAID 1760481667

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