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
Phone: (919) 350-8585
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760481667 | NPPES |
North Carolina | MEDICAID | 89138AH | |
North Carolina | MEDICAID | 1760481667 |
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