Graham, Donna Melissa

Graham, Donna Melissa is an individual health care provider with primary practice located at 500 S University Ave Suite 215, Little Rock AR 72205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Graham, Donna Melissa can be contacted via phone (501) 420-1085.

Contact Information

Primary practice address
500 S University Ave Suite 215 Little Rock AR 72205
Fax: (501) 420-1457
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X E-1260 Arkansas

Profile Details

NPI number 1003896580
LBN Legal business name Graham, Donna Melissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jun 29th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003896580 NPPES
Arkansas MEDICAID 131802001
Arkansas Other A010

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