SHOHREH GRAHAM NPI 1710467691

NPI Information

NPI: 1710467691
Provider Name: SHOHREH GRAHAM
Classification: Home Health Aide - 374U00000X
Entity Type: Individual
Address:
4240 WALNUT FAMILY CT
LAS VEGAS, NV
ZIP 89115
Phone: (323) 357-2591
Get Directions

Shohreh Graham is a home health aide in Las Vegas, NV. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Shohreh Graham NPI is 1710467691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4240 WALNUT FAMILY CT
LAS VEGAS, NV
ZIP 89115-111
Phone: (323) 357-2591

The enumeration date for this NPI number is 8/20/2018 and was last updated on 8/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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