MEDICARE: SARA S GRAHAM DO

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	34009679	OH
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	34.009679	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568535003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA S GRAHAM DO

Provider Business Mailing Address
First Line	:	5400 FRANTZ RD
Second Line	:	STE 250
City	:	DUBLIN
State	:	OH
Zip	:	43016-4144
Country	:	US
Telephone Number	:	614-544-6161
Fax Number	:	614-566-1901

Provider Business Practice Location Address
First Line	:	800 MCCONNELL DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3463
Country	:	US
Telephone Number	:	614-566-5377
Fax Number	:

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	12/21/2023

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Directions to “ SARA S GRAHAM DO” Practice Location

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