Dr. Virgil Lee Graham
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
1221 Mercantile Ln Dept Of Obgyn
Largo
, Maryland 20774-5374
Dr. Virgil Lee Graham
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
1221 Mercantile Ln Dept Of Obgyn
Largo
, Maryland 20774-5374
(301) 618-5673
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Dr. Virgil Lee Graham
- 1715 Mallard Ct
- Upper Marlboro, MD
- Zip : 20774-7053
- Fax : (301) 618-5673
- Phone : (301) 221-3998
Second Address
- Dr. Virgil Lee Graham
- 1221 Mercantile Ln Dept Of Obgyn
- Largo, MD
- Zip : 20774-5374
- Fax : (301) 618-5673
- Phone : (301) 618-5578
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | D53099 | MD |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD30787 | DC |
National Provider Identifier
| NPI | 1013088830 |
|---|---|
| Provider Name | Dr. Virgil Lee Graham |
| First Address | Upper Marlboro, MD 20774-7053 |
| Second Address | Largo, MD 20774-5374 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2006 |
| Last Update Date | 21/08/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F55843 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.