Individual provider · Type 1 NPI

Larry C. Graham Ii, MD

Body Imaging Physician · Wichita, KS

NPI number 1023090503 Active

Practice location

3600 E Harry St
Wichita, KS 67218-3713

Fax (316) 689-6192

Mailing address

13715 Pinnacle Dr
Wichita, KS 67230-1545

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician 2085R0204X04-28763 (KS)
Diagnostic Ultrasound Physician 2085U0001X04-28763 (KS)
Body Imaging Physician Primary 2085B0100X04-28763 (KS)
Nuclear Radiology Physician 2085N0904X04-28763 (KS)
Neuroradiology Physician 2085N0700X04-28763 (KS)
Pediatric Radiology Physician 2085P0229X04-28763 (KS)
Diagnostic Radiology Physician 2085R0202X04-28763 (KS)
Therapeutic Radiology Physician 2085R0203X04-28763 (KS)

Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.

99 other providers at this address

About NPI 1023090503

Larry C. Graham Ii, MD's National Provider Identifier is 1023090503, issued on Nov 18, 2005. The primary taxonomy on file is Body Imaging Physician (2085B0100X), and the practice location is in Wichita, KS. The record was last updated on Nov 20, 2013.