Individual
REGINA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2230 STOCKTON BLVD, SACRAMENTO, CA 95817-1353
(916) 734-2972
(916) 734-2972
Mailing address
2230 STOCKTON BLVD, SACRAMENTO, CA 95817-1353
(916) 734-2972
(916) 734-2972
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A92709
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A92709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11910
—
CA
Enumeration date
03/01/2007
Last updated
03/21/2022
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