Provider Demographics
NPI:1427010305
Name:GRAHAM, ARNOLD R JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:R
Last Name:GRAHAM
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:DEPT CH 14389
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60055-4389
Mailing Address - Country:US
Mailing Address - Phone:785-295-5307
Mailing Address - Fax:785-270-7646
Practice Address - Street 1:600 SW COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1684
Practice Address - Country:US
Practice Address - Phone:785-233-9643
Practice Address - Fax:785-233-6821
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2011-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-23741207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100392040AMedicaid
KSG34156Medicare UPIN