Individual
DR. DOUGLAS T GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2811 DEL CURTO RD UNIT B, AUSTIN, TX 78704-4981
(330) 518-8899
Mailing address
2811 DEL CURTO RD UNIT B, AUSTIN, TX 78704-4981
(330) 518-8899
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-084765
OH
207L00000X
Anesthesiology Physician
Primary
M7227
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225207
UNISON
OH
01
—
0583328
BCMH
OH
05
—
2502429
—
OH
01
—
363579
WELLCARE MEDICAID
OH
01
—
743964
BUCKEYE MEDICAID
OH
01
—
7825578
AETNA
OH
01
—
P00212694
RAILROAD MEDICARE
OH
01
—
P00412474
MEDICARE RAILROAD
OH
Enumeration date
07/24/2006
Last updated
05/24/2023
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