Gary L Graham (NPI# 1992129704, PAC ID# 1456674852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992129704 |
| PAC ID by PECOS | 1456674852 |
| Professional Enrollment ID | I20141215002370 |
| Full Name | Gary L Graham |
| Organization Legal Name | DEVELOPMENT CENTERS INC |
| Address |
17141 Ryan Rd Detroit MI 48212-1112 |
| Phone Number | 3135312500 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0547254443 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17141 Ryan Rd, Detroit, MI 48212-1112 | 3135312500 | DEVELOPMENT CENTERS INC |
| 2925 Russell St, Detroit, MI 48207-4825 | 3133965300 | TEAM MENTAL HEALTH SERVICES INC |
| 14799 Dix Toledo Rd, Southgate, MI 48195-2507 | 7343248326 | TEAM MENTAL HEALTH SERVICES INC |
| Organization Legal Name | DEVELOPMENT CENTERS INC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlotte L Briggs | Clinical Social Worker | Development Centers Inc | 19750 Burt Rd, Detroit, MI 48219-1344 |
| Nitin M Rajhans | Psychiatry | Development Centers Inc | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 |
| Katrina Denise Richardson | Nurse Practitioner | Development Centers Inc | 24424 W Mcnichols, Detroit, MI 48219-3653 |
| Annie L Allen | Clinical Social Worker | Development Centers Inc | 17141 Ryan Rd, Detroit, MI 48212-1112 |
| Ramona A Williams | Clinical Social Worker | Development Centers Inc | 24424 W Mcnichols, Detroit, MI 48219-3653 |
| William E Gillespie, Jr | Clinical Social Worker | Development Centers Inc | 24424 W Mcnichols, Detroit, MI 48219-3653 |
| Naveed Bajwa | Clinical Social Worker | Development Centers Inc | 17141 Ryan Rd, Detroit, MI 48212-1112 |
| Faline C Fisher | Clinical Social Worker | Development Centers Inc | 24424 W Mcnichols, Detroit, MI 48219-3653 |
| Kehinde A Ayeni | Psychiatry | Development Centers Inc | 24424 W Mcnichols, Detroit, MI 48219-3653 |
| Kelly Lynn Gardiner | Nurse Practitioner | Development Centers Inc | 17141 Ryan Rd, Detroit, MI 48212-1112 |
| Street Address |
17141 RYAN RD |
| City | DETROIT |
| State | MI |
| Zip | 48212-1112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annie L Allen | Clinical Social Worker | Development Centers Inc | 17141 Ryan Rd, Detroit, MI 48212-1112 |
| Naveed Bajwa | Clinical Social Worker | Development Centers Inc | 17141 Ryan Rd, Detroit, MI 48212-1112 |
| Kelly Lynn Gardiner | Nurse Practitioner | Development Centers Inc | 17141 Ryan Rd, Detroit, MI 48212-1112 |
| Alicia Sharp | Clinical Social Worker | Development Centers Inc | 17141 Ryan Rd, Detroit, MI 48212-1112 |
| Janet Lynn Harden | Clinical Social Worker | Development Centers Inc | 17141 Ryan Rd, Detroit, MI 48212-1112 |
| Leonard W Lachover | Psychiatry | Development Centers Inc | 17141 Ryan Rd, Detroit, MI 48212-1112 |
| Layna L Johnson | Clinical Social Worker | Development Centers Inc | 17141 Ryan Rd, Detroit, MI 48212-1112 |
| Fook Ning N Leung | Psychiatry | Development Centers Inc | 17141 Ryan Rd, Detroit, MI 48212-1112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nitin M Rajhans | Psychiatry | Development Centers Inc | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 |
| Bradley Klemm | Clinical Social Worker | Development Centers Inc | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 |
| Chasity Shelton | Clinical Social Worker | Development Centers Inc | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 |
| Elizabeth A Lucas | Nurse Practitioner | Development Centers Inc | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 |
| Terrilynne Gause | Clinical Social Worker | The Adult Psychiatric Clinic | 4321 E Mcnichols Rd, Detroit, MI 48212-1720 |
| Maria R Balleza | General Practice | 4821 E Mcnichols Rd, Detroit, MI 48212-1730 | |
| Pamela Murray | Clinical Social Worker | 4821 E Mcnichols Rd, Detroit, MI 48212-1730 | |
| Amitabh Paharia | Family Medicine | Great Lakes Family Medical Center Pllc | 4420 E Davison St, Detroit, MI 48212-1744 |
| Arunima Shrivastava | Family Medicine | Great Lakes Family Medical Center Pllc | 4420 E Davison St, Detroit, MI 48212-1744 |
| Ali H Mahmood | Internal Medicine | 13031 Conant St, Detroit, MI 48212-2361 | |
| Find all physicians in zip 48212 | |||
| City | DETROIT |
| Zip Code | 48212 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DETROIT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gary L 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.