Graham, R. Michael

Graham, R. Michael is an sole proprietor health care provider with primary practice located at 100 Kingsley Ln Suite 300, Norfolk VA 23505-4604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Graham, R. Michael can be contacted via phone (757) 889-6580.

Contact Information

Primary practice address
100 Kingsley Ln Suite 300 Norfolk VA 23505-4604
Phone: (757) 889-6580
Fax: (757) 889-6583
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101044491 Virginia
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 0101044491 Virginia

Profile Details

NPI number 1083625511
LBN Legal business name Graham, R. Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2006
Last updated Sep 13th, 2011 - about 13 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 1083625511 NPPES
Virginia MEDICAID 010140811

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