Doctor profile · Federal record
Dr. Theodore Graham, MD
Obstetrics & Gynecology Physician · Detroit, MI
- NPI 1679562292
- 21 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7815 E Jefferson Ave
Detroit, MI 482143704
(313) 499-4868
fax (313) 499-4911 - Mailing address
-
43800 Garfield RD
Clinton Twp, MI 480381136
Credentials & registration
- NPI registered
- October 2005 — 21 yrs on file
- Profile last updated
- July 13, 2007
- Specialty taxonomy
- 207V00000X — NUCC code
- State license (1)
- Michigan #4301050455
- Medicaid
- MI #4502252
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1679562292. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kyowa Kirin, Inc. | 1 | $16.07 |
By nature of payment
Frequently asked questions
What is Dr. Theodore Graham's medical specialty?
Dr. Theodore Graham practices Obstetrics & Gynecology Physician in Detroit, MI.
Where does Dr. Theodore Graham practice?
Dr. Theodore Graham practices at 7815 E Jefferson Ave, Detroit, MI 482143704. Office phone: 3134994868.
What is Dr. Theodore Graham's NPI?
Dr. Theodore Graham's National Provider Identifier (NPI) is 1679562292, issued by NPPES.