SearchIndiana207L00000X

Travis Graham

NPI 1699186734 · on the registry since 2014 · sole proprietor

Practice

Address
1130 West Michigan Street, Fh204
Indianapolis, IN 46202
Phone
(317) 274-0076
Clinicians at this address
20

Registry record

Primary taxonomy
207L00000X
207L00000X
Also registered as
390200000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana