Provider Demographics
NPI:1720018831
Name:GRAHAM-PARKER, CHANDRA M (MD)
Entity Type:Individual
Prefix:DR
First Name:CHANDRA
Middle Name:M
Last Name:GRAHAM-PARKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7309 HANOVER PKWY
Mailing Address - Street 2:SUITE A&B
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2032
Mailing Address - Country:US
Mailing Address - Phone:301-982-0657
Mailing Address - Fax:301-982-5325
Practice Address - Street 1:7309 HANOVER PKWY
Practice Address - Street 2:SUITE A&B
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2032
Practice Address - Country:US
Practice Address - Phone:301-982-0657
Practice Address - Fax:301-982-5325
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0060205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH86360Medicare UPIN