MR. DOUGLAS E GRAHAM PA NPI 1326092073

NPI Information

NPI: 1326092073
Provider Name: MR. DOUGLAS E GRAHAM, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1778 ALA MOANA BLVD
UL-5
HONOLULU, HI
ZIP 96815
Phone: (808) 955-5553
Get Directions

MR. Douglas E Graham, PA is a medical physician assistant in Honolulu, HI. MR. Douglas E Graham, PA NPI is 1326092073. 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:

1778 ALA MOANA BLVD
UL-5
HONOLULU, HI
ZIP 96815-605
Phone: (808) 955-5553
Fax: (808) 955-5575

The enumeration date for this NPI number is 5/19/2006 and was last updated on 7/9/2007.

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	363AM0700X	Physician Assistant	Medical	AMD-181	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55499	MEDICARE ID-TYPE UNSPECIFIED	HAWAII	MEDICARE PROVIDER ID #
2	P89820	MEDICARE UPIN	HAWAII
3	05715502	MEDICAID	HAWAII
4	0000242867	OTHER	HAWAII	BC/BS OF HAWAII

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

NPI Synchronization or Removal

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