CHARISSE GRAHAM M.D. NPI 1497288799

NPI Information

  • NPI: 1497288799
  • Provider Name: CHARISSE GRAHAM, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1212 E BEARSS AVE
    LUTZ, FL
    ZIP 33549
  • Phone: (813) 397-5300

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NPI Details

Charisse Graham, M.D. is an adolescent medicine pediatrics in Lutz, FL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Charisse Graham, M.D. NPI is 1497288799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1212 E BEARSS AVE
LUTZ, FL
ZIP 33549
Phone: (813) 397-5300

The NPI 1497288799 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2017 and was last updated on 7/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics22673HAWAIINo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32080A0000XPediatricsAdolescent Medicine39359ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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