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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1306974126 NPPES
California MEDICAID 11910

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