Provider Demographics
NPI:1457303281
Name:GRAFFIS, RICHARD F (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:F
Last Name:GRAFFIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1801 N SENATE BLVD
Mailing Address - Street 2:SUITE 635
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1228
Mailing Address - Country:US
Mailing Address - Phone:317-963-1400
Mailing Address - Fax:317-962-2595
Practice Address - Street 1:1801 N SENATE BLVD
Practice Address - Street 2:SUITE 635
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:317-963-1400
Practice Address - Fax:317-962-2595
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01023891A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100064330Medicaid
INM400073543Medicare PIN
IN2220500Medicare ID - Type Unspecified
IN100064330Medicaid