Provider Demographics
NPI:1922210137
Name:BILLINGHAM, GRAHAM TORQUIL (MD)
Entity type:Individual
Prefix:DR
First Name:GRAHAM
Middle Name:TORQUIL
Last Name:BILLINGHAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10556 COMBIE RD
Mailing Address - Street 2:PMB 6248
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-8908
Mailing Address - Country:US
Mailing Address - Phone:530-906-6945
Mailing Address - Fax:530-268-3349
Practice Address - Street 1:11760 ATWOOD RD
Practice Address - Street 2:SUITE 5
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-9075
Practice Address - Country:US
Practice Address - Phone:530-328-1348
Practice Address - Fax:530-889-8742
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG61087207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine