Graham, Charles Raymond
Graham, Charles Raymond is an sole proprietor health care provider with primary practice located at 1001 Pine Heights Ave Suite 300, Baltimore MD 21229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Graham, Charles Raymond can be contacted via phone (410) 646-5470.Contact Information
Primary practice address
1001 Pine Heights Ave Suite 300
Baltimore MD 21229
Phone: (410) 646-5470
Fax: (410) 646-5471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D24781 | Maryland |
Profile Details
| NPI number | 1720077290 |
|---|---|
| LBN Legal business name | Graham, Charles Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Aug 17th, 2010 - about 16 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 | 1720077290 | NPPES |
| Maryland | MEDICAID | 336621900 |
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