Theodore K Graham (NPI# 1679562292, PAC ID# 9739108697) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1679562292 |
| PAC ID by PECOS | 9739108697 |
| Professional Enrollment ID | I20051121000438 |
| Full Name | Theodore K Graham |
| Organization Legal Name | DETROIT COMMUNITY HEALTH CONNECTION, INC |
| Address |
611 Martin Luther King Jr Blvd Detroit MI 48201-2273 |
| Phone Number | 3138326300 |
| Gender | M |
| Credential | MD |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9234021148 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 | 3138326300 | DETROIT COMMUNITY HEALTH CONNECTION, INC |
| 6550 W Warren Ave, Detroit, MI 48210-1134 | 3138977700 | DETROIT COMMUNITY HEALTH CONNECTION, INC |
| Organization Legal Name | DETROIT COMMUNITY HEALTH CONNECTION, INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia Angelica Garcia | Nurse Practitioner | Detroit Community Health Connection, Inc | 6550 W Warren Ave, Detroit, MI 48210-1134 |
| Anita L Cain | Internal Medicine | Detroit Community Health Connection, Inc | 13901 E Jefferson Ave, Detroit, MI 48215-2720 |
| Leslie D Danley | Obstetrics/gynecology | Detroit Community Health Connection, Inc | 111 W 7 Mile Rd, Detroit, MI 48203-1968 |
| Christyne Lawson | Family Medicine | Detroit Community Health Connection, Inc | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 |
| Alan F Green | Internal Medicine | Detroit Community Health Connection, Inc | 7900 Kercheval St, Detroit, MI 48214-2439 |
| Ronaldo B Supena | Infectious Disease | Detroit Community Health Connection, Inc | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 |
| Charlene V Williams | Obstetrics/gynecology | Detroit Community Health Connection, Inc | 7900 Kercheval St, Detroit, MI 48214-2439 |
| Barbara J Mccloud | Clinical Social Worker | Detroit Community Health Connection, Inc | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 |
| Omosalewa Itauma | Obstetrics/gynecology | Detroit Community Health Connection, Inc | 111 W 7 Mile Rd, Detroit, MI 48203-1968 |
| Sara Laith Sara | Internal Medicine | Detroit Community Health Connection, Inc | 13901 E Jefferson Ave, Detroit, MI 48215-2720 |
| Street Address |
611 MARTIN LUTHER KING JR BLVD |
| City | DETROIT |
| State | MI |
| Zip | 48201-2273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christyne Lawson | Family Medicine | Detroit Community Health Connection, Inc | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 |
| Ronaldo B Supena | Infectious Disease | Detroit Community Health Connection, Inc | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 |
| Barbara J Mccloud | Clinical Social Worker | Detroit Community Health Connection, Inc | 611 Martin Luther King Jr Blvd, Detroit, MI 48201-2273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Rose Berger Weber | Neurology | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Jennifer R Noble | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Ronald P Ruffing | Emergency Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Charles B Pelshaw | Physical Medicine and Rehabilitation | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Katherine O'brien Cashen | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Angela L Kavenaugh | Emergency Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Deemah R Mahadin | Cardiovascular Disease (cardiology) | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Robert L Conway | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Elizabeth A Secord | Allergy/immunology | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Melissa Y February | Pediatric Medicine | University Pediatricians | 4201 St Antoine Uhc, Suite 226, Detroit, MI 48201 |
| Find all physicians in zip 48201 | |||
| City | DETROIT |
| Zip Code | 48201 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | DETROIT + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Theodore K Graham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.