Provider Demographics
NPI: | 1811378235 |
---|---|
Name: | APPELBE, GRAHAM ROBERT (DO) |
Entity type: | Individual |
Prefix: | DR |
First Name: | GRAHAM |
Middle Name: | ROBERT |
Last Name: | APPELBE |
Suffix: | |
Gender: | M |
Credentials: | DO |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | PO BOX 31001-4114 |
Mailing Address - Street 2: | |
Mailing Address - City: | PASADENA |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91110-4114 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1330 ROCKEFELLER AVE STE 450 |
Practice Address - Street 2: | |
Practice Address - City: | EVERETT |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98201-1677 |
Practice Address - Country: | US |
Practice Address - Phone: | 425-386-0695 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2015-06-11 |
Last Update Date: | 2025-07-31 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MN | 75083 | 207RG0100X |
PA | OS022095 | 207RG0100X |
WA | OP61670122 | 207RG0100X |
MI | 5101021990 | 207R00000X |
390200000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
No | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |