Provider Demographics
NPI:1750332300
Name:GRAEFFE, ESTELLA F (MD)
Entity Type:Individual
Prefix:
First Name:ESTELLA
Middle Name:F
Last Name:GRAEFFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 S GULPH RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3101
Mailing Address - Country:US
Mailing Address - Phone:610-382-5900
Mailing Address - Fax:610-382-5919
Practice Address - Street 1:211 S GULPH RD STE 200
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3101
Practice Address - Country:US
Practice Address - Phone:610-382-5900
Practice Address - Fax:610-382-5919
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023032E2085R0202X, 2085R0203X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0098332501OtherAMERICHOICE (UHC MA PLAN)
PA25096-MD023032EOtherHEALTH PARTNERS
PA360001506OtherRRM
PA0061867000OtherIBC - PC/KHPE
PA0061867000OtherAMERIHEALTH/INTERCOUNTY
PA031534OtherAETNA HMO
PA1030045OtherKEYSTONE MERCY (MA)
PA4100067OtherAETNA PPO
PA000983325Medicaid
PA111167OtherHIGHMARK BLUE SHIELD
PA350716OtherPHCS
NJ0309630Medicaid
PA7162918OtherCIGNA HMO/PPO
PA0061867000OtherIBC - PC/KHPE
PA7162918OtherCIGNA HMO/PPO