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
| Taxonomy | Code | License |
|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 04-28763 (KS) |
| Diagnostic Ultrasound Physician | 2085U0001X | 04-28763 (KS) |
| Body Imaging Physician Primary | 2085B0100X | 04-28763 (KS) |
| Nuclear Radiology Physician | 2085N0904X | 04-28763 (KS) |
| Neuroradiology Physician | 2085N0700X | 04-28763 (KS) |
| Pediatric Radiology Physician | 2085P0229X | 04-28763 (KS) |
| Diagnostic Radiology Physician | 2085R0202X | 04-28763 (KS) |
| Therapeutic Radiology Physician | 2085R0203X | 04-28763 (KS) |
Body Imaging Physician: A Radiology doctor of Osteopathy that specializes in Body Imaging.
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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.