LARRY G GRAHAM M.D. - NPI 1871694828 - Pathology in Brentwood, TN

Q: What is Larry Graham's NPI number?

The NPI number for Larry Graham is 1871694828. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Larry Graham's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Larry Graham was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Larry G Graham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY G GRAHAM M.D. (NPI 1871694828) is an individual anatomic pathology & clinical pathology provider in Brentwood, Tennessee, licensed in Tennessee (9225) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1871694828

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameLARRY G GRAHAMCredential: M.D.

Location Address5301 VIRGINIA WAY STE 300Brentwood, TN 37027-7542

Mailing Address5301 Virginia Way Ste 300Brentwood, TN 37027-7542 · (615) 221-4474 · Fax (615) 234-3774

Phone(615) 221-4474

Fax(615) 234-3774

Sole ProprietorNo

Enumeration DateSeptember 25, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1871694828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in TN · 9225✔ Licensed in KY · 24891

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

5301 VIRGINIA WAY STE 300, Brentwood, TN 37027

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Other Identifiers 9

Other119586TN · Unison Tenncare

Other000005006002TN · Tlc Tenncare

Medicaid3040511TN

Medicaid64777063KY

Other231705VA · Blue Cross

Other3025074TN · Blue Cross

Medicare UPINB59078

Medicare ID-Type Unspecified3040512TN

Medicaid89063F6NC

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEN W DAVIS M.D.

Pathology (Anatomic Pathology & Clinical Pathology)