MICHAEL GRAHAM MD NPI 1164496923

NPI Information

NPI: 1164496923
Provider Name: MICHAEL GRAHAM, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
1432 S DOBSON RD
STE. 107
MESA, AZ
ZIP 85202
Phone: (480) 412-4100
Get Directions

Michael Graham, MD is a pediatric hematology-oncology pediatrics in Mesa, AZ. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Michael Graham, MD NPI is 1164496923. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1432 S DOBSON RD
STE. 107
MESA, AZ
ZIP 85202-768
Phone: (480) 412-4100
Fax: (480) 412-5154

The NPI 1164496923 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2006 and was last updated on 12/9/2010.

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	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	23389	ARIZONA	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	Z138332	OTHER	ARIZONA	ARIZONA MEDICARE FARGO PART B
2	D32577	MEDICARE UPIN	ARIZONA

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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