Graham Robert Carnahan
Student in an Organized Health Care Education/Training Program in Sacramento, CA. Individual provider (NPI-1).
NPI number1073353751
StatusActive
Last updated in NPPESOct 20, 2026
Details
- NPI
- 1073353751
- Entity type
- Individual (NPI-1)
- Name
- Graham Robert Carnahan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 29, 2024
- Certification date
- Oct 20, 2026
- Last updated
- Oct 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 363A00000X | Physician Assistant | PA69201 | CA |
Practice location
2570 48th StSacramento, CA 95817-1541
Phone 916-734-2145
Mailing address
200 S Lexington Dr Apt 1031Folsom, CA 95630-7031
Phone 530-351-2570
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