DR. MARTIN LAREN GRAHAM MD NPI 1538123674

NPI Information

NPI: 1538123674
Provider Name: DR. MARTIN LAREN GRAHAM, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
222 15TH AVE SE
PUYALLUP, WA
ZIP 98372
Phone: (253) 841-4353
Get Directions

DR. Martin Laren Graham, MD is a diagnostic radiology radiology in Puyallup, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Martin Laren Graham, MD NPI is 1538123674. 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:

222 15TH AVE SE
PUYALLUP, WA
ZIP 98372-754
Phone: (253) 841-4353
Fax: (253) 581-5698

The enumeration date for this NPI number is 4/14/2006 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	2085R0202X	Radiology	Diagnostic Radiology	4301030616	MICHIGAN	No
2	2085R0202X	Radiology	Diagnostic Radiology	A24039	CALIFORNIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	MD00012303	WASHINGTON	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	8194904	MEDICAID	WASHINGTON
2	74116	OTHER	WASHINGTON	L&I
3	A08910	MEDICARE UPIN	WASHINGTON
4	1054206	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON

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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