Individual
SEAN K GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5408 FLANDERS DR, BATON ROUGE, LA 70808-9168
(225) 769-5554
(225) 761-3334
Mailing address
5408 FLANDERS DR, BATON ROUGE, LA 70808-9168
(225) 769-5554
(225) 761-3334
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD.200855
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
200855
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1090875
—
LA
Enumeration date
07/30/2007
Last updated
08/12/2011
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