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NPI Code Detail

MEDICARE: DR. CAROLINE GRAHAM DO

MEDICARE: DR. CAROLINE GRAHAM DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician7774OK
22084P0800XPsychiatry Physician7774OK

General Provider Information

NPI Number : 1689240392
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINE GRAHAM DO
Provider Business Mailing Address
First Line : 8211 E REGAL PL STE 100
Second Line :
City : TULSA
State : OK
Zip : 74133-7181
Country : US
Telephone Number : 918-387-8373
Fax Number : 405-429-8534
Provider Business Practice Location Address
First Line : 8211 E REGAL PL STE 100
Second Line :
City : TULSA
State : OK
Zip : 74133-7181
Country : US
Telephone Number : 918-387-8373
Fax Number : 405-429-8534
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 02/12/2026

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Directions to “ DR. CAROLINE GRAHAM DO” Practice Location

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