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Contact Information

DOUGLAS E GRAHAM, PA
1778 ALA MOANA BLVD
UL-5
HONOLULU, HI96815-1605
 Phone: 808-955-5553
 Fax: 808-955-5575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DOUGLAS E GRAHAM · (Male)

NPI Number 1326092073
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/19/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • HI License # AMD-181
  • HI Medicaid 05715502
  • HI Other 0000242867 BC/BS OF HAWAII
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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