# LEON J. GRAHAM

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

## Provider details

- **NPI number:** 1275515843
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 12841 | MS | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 11/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00116274 | — | MS |
| 05 | — | 009938765 | — | AL |
| 01 | — | 730-12797 | BLUE CROSS OF AL | — |
| 01 | — | P00113829 | RAILROAD MEDICARE | — |