# DR. RICHARD W GRAHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225092794
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 0101 033452 | VA | — |
| 208800000X | Urology Physician | 042-0012170 | VT | Yes |

## Other

- **Enumeration date:** 04/13/2006
- **Last updated:** 09/12/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 002130301 | MEDICARE PTAN | — |
| 05 | — | 1018994 | — | VT |
| 05 | — | 1225092794 | — | VA |
| 01 | — | 1478176 | CIGNA | VT |
| 01 | — | 1900011 | UNITED HEALTHCARE | VA |
| 01 | — | 24388 | ALLIANCE | VA |
| 01 | — | 247815 | ANTHEM BCBS | VA |
| 01 | — | 2582 | CIGNA | VA |
| 01 | — | 3016615 | MVP | VT |
| 05 | — | 32000393 | — | NH |
| 01 | — | 340001591 | RAILROAD MEDICARE | VA |
| 01 | — | 36538 | CARENET | VA |
| 01 | — | 3762531 | AETNA HMO | VA |
| 01 | — | 4063408 | AETNA PPO | VA |
| 01 | — | 447989 | SOUTHERN HEALTH EFF111506 | VA |
| 01 | — | 45722 | SENTARA FAMILY CARE | VA |
| 01 | — | 497602109 | TRICARE | VA |
| 01 | — | 59294 | SOUTHERN HEALTH | VA |
| 01 | — | 642070000-00 | QUALCHOICE | VA |
| 01 | — | 66241 | CARENET EFF 111506 | VA |