MEDICARE: DR. CYNTHIA A TURNER-GRAHAM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	D0058623	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D0058623	OTHER	MD	MEDICAL LICEENCE NUMBER

General Provider Information

NPI Number	:	1912903089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA A TURNER-GRAHAM M.D.

Provider Business Mailing Address
First Line	:	301 PURE SPRING CRES
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20850-5694
Country	:	US
Telephone Number	:	301-216-1622
Fax Number	:	301-216-0060

Provider Business Practice Location Address
First Line	:	8915 SHADY GROVE CT
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20877-1308
Country	:	US
Telephone Number	:	301-963-0060
Fax Number	:	301-258-7482

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	11/07/2007

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