Individual
DR. LARRY A. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 CINCINNATI-BATAVIA PK, CINCINNATI, OH 45244
(513) 752-1555
(513) 753-2144
Mailing address
3000 HOSPITAL DR, BATAVIA, OH 45103-1921
(513) 752-1555
(513) 753-2144
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35058952
OH
2084P0804X
Child & Adolescent Psychiatry Physician
35058952
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0839052
—
OH
Enumeration date
09/25/2006
Last updated
07/26/2017
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