Individual provider · Type 1 NPI
Michael Connall Graves, DO
Student in an Organized Health Care Education/Training Program · Omaha, NE
NPI number
1194474403
Active
Practice location
8200 Dodge St
Omaha, NE 68114-4113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 10158 (NE) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1194474403
Michael Connall Graves, DO's National Provider Identifier is 1194474403, issued on Mar 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Omaha, NE. The record was last updated on Jun 16, 2025.