Individual provider · Type 1 NPI

Shaveonte Denise Graham, MD

Student in an Organized Health Care Education/Training Program · Dearborn, MI

NPI number 1063115202 Active

Practice location

5250 Auto Club Dr Ste 290A
Dearborn, MI 48126-2619

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2608

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063115202

Shaveonte Denise Graham, MD's National Provider Identifier is 1063115202, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dearborn, MI. The record was last updated on Jun 21, 2024.