Dr Virgil Lee Graham, MD | |
1221 Mercantile Ln, Dept Of Obgyn, Largo, MD 20774-5374 | |
(301) 618-5578 | |
(301) 618-5673 |
Full Name | Dr Virgil Lee Graham |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
Location | 1221 Mercantile Ln, Largo, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013088830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | D53099 (Maryland) | Secondary |
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | MD30787 (District Of Columbia) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | La Clinica De La Raza Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016 |
Mailing Address | Practice Location Address |
---|---|
Dr Virgil Lee Graham, MD 1715 Mallard Ct, Upper Marlboro, MD 20774-7053 Ph: (301) 221-3998 | Dr Virgil Lee Graham, MD 1221 Mercantile Ln, Dept Of Obgyn, Largo, MD 20774-5374 Ph: (301) 618-5578 |
Sasha Ray, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 901 Harry S Truman Dr N, Largo, MD 20774 Phone: 240-677-1000 | |
Dr. Shirley Anne Vanmilder, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5679 Fax: 301-618-5673 | |
Kieu Lashanya Smith, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Ln, Largo, MD 20774 Phone: 301-618-5500 | |
Dr. Vera I Ibe, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 Fax: 301-618-5673 | |
Dr. Teresita J Ferrer Estoye, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 | |
Dr. Kimberly Shawn Moss, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Ln, Kaiser Permanente Largo Medical Center, Largo, MD 20774 Phone: 301-618-5500 |