Active NPI
Virginia Mary Caradonna-Graham, M.D.
- Internal Medicine Physician
- Bloomfield Hills, MI
National Provider Identifier
1902120553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301055407
- Practice address
- 1744 Heron Ridge Dr
Bloomfield Hills, MI 48302-0723 - Phone
- (248) 338-7213
- NPI assigned
- Mar 24, 2010
- Last updated
- Mar 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 4301055407 | MI | |
| Internal Medicine Physician | 207R00000X | 4301055407 | MI | Primary |
Addresses
Primary practice location
1744 Heron Ridge Dr
Bloomfield Hills, MI 48302-0723
Mailing address
1744 Heron Ridge Dr
Bloomfield Hills, MI 48302-0723
Phone (248) 310-6074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301055407 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Associates of Mi PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Allergy & Immunology Physician
- Royal Oak, MI
- NPI 1871526459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269388800000",
"number": "1902120553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1744 HERON RIDGE DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483020723",
"telephone_number": "248-310-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 HERON RIDGE DR",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483020723",
"telephone_number": "248-338-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARADONNA-GRAHAM",
"first_name": "VIRGINIA",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-24",
"last_updated": "2010-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "MI",
"license": "4301055407",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301055407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
- Camille Harris Counseling Services LLC
- Willie Larry Campbell, LMSW
- Deborah Lynn Camphous, MSW
- Eulogio Caoili, MD
- Capital Medical Assoc. PC
- Dorothy Caramagno, PHARMD
- Cardiac and Vascular Association PC
- Cardiology and Vascular Associates PC (Medical Care corporation)
- Cardiology and Vascular Associates PC (Medical Care Corporation)
- Cardiology and Vascular Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.