Graham, Regina
Graham, Regina is an individual health care provider with primary practice located at 2230 Stockton Blvd , Sacramento CA 95817-1353. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Graham, Regina can be contacted via phone (916) 734-2972.Contact Information
Primary practice address
2230 Stockton Blvd
Sacramento CA 95817-1353
Phone: (916) 734-2972
Fax: (916) 734-2972
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A92709 | California |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A92709 | California |
Profile Details
NPI number | 1306974126 |
---|---|
LBN Legal business name | Graham, Regina |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 1st, 2007 |
Last updated | Mar 21st, 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 | 1306974126 | NPPES |
California | MEDICAID | 11910 |
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