Individual
DR. RICHARD W GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
108 N MAIN ST, WHITE RIVER JUNCTION, VT 05001-7056
(802) 296-7370
(802) 296-7174
Mailing address
44 S MAIN ST, RANDOLPH, VT 05060-1381
(802) 728-2372
(802) 728-2613
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101 033452
VA
208800000X
Urology Physician
Primary
042-0012170
VT
Other
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
Enumeration date
04/13/2006
Last updated
09/12/2011
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