Graham, Thomas M
Graham, Thomas M is an individual health care provider with primary practice located at 9300 Valley Childrens Pl , Madera CA 93636-8761. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Graham, Thomas M can be contacted via phone (559) 353-3000.Contact Information
Primary practice address
9300 Valley Childrens Pl
Madera CA 93636-8761
Phone: (559) 353-3000
Fax: (559) 353-7195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA14840 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA14840 | California |
Profile Details
| NPI number | 1407927601 |
|---|---|
| LBN Legal business name | Graham, Thomas M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2006 |
| Last updated | Feb 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407927601 | NPPES |
| California | MEDICAID | 0PA148400 |
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