DR. JEAN GRAHAM M.D. NPI 1508920661

NPI Information

NPI: 1508920661
Provider Name: DR. JEAN GRAHAM, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
4801 N BUTLER AVE
FARMINGTON, NM
ZIP 87401
Phone: (505) 324-8375
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DR. Jean Graham, M.D. is a specialist in Farmington, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jean Graham, M.D. NPI is 1508920661. 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:

4801 N BUTLER AVE
FARMINGTON, NM
ZIP 87401-002
Phone: (505) 324-8375

The enumeration date for this NPI number is 12/21/2006 and was last updated on 7/8/2007.

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	174400000X	Specialist		97-254	NEW MEXICO	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	84-1497491-001	OTHER	COLORADO	ROCKY MT HMO
2	NM012425	OTHER	NEW MEXICO	BLUE CROSS BLUE SHIELD NM
3	G55809	MEDICARE UPIN	NEW MEXICO
4	Q2833	MEDICAID	NEW MEXICO

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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