DR. GLENN D GRAHAM MD PHD NPI 1275549982

NPI Information

NPI: 1275549982
Provider Name: DR. GLENN D GRAHAM, MD PHD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
VAMC
1501 SAN PEDRO DRIVE SE
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 265-1711
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DR. Glenn D Graham, MD PHD is a neurology psychiatry neurology in Albuquerque, NM. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Glenn D Graham, MD PHD NPI is 1275549982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

VAMC
1501 SAN PEDRO DRIVE SE
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 265-1711
Fax: (505) 256-5720

The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	95-248	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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