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

TaxonomyCodeLicense
Pediatric Cardiology Physician 2080P0202X10158 (NE)
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 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.