Individual
RICHARD S GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
460 34TH ST, OAKLAND, CA 94609
(510) 652-8091
(510) 652-5156
Mailing address
460 34TH ST, OAKLAND, CA 94609
(510) 652-8091
(510) 652-5156
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G32713
CA
207ND0900X
Dermatopathology Physician
G32713
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
G32713
CA
207NP0225X
Pediatric Dermatology Physician
Primary
G32713
CA
207NS0135X
Procedural Dermatology Physician
G32713
CA
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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