Mrs. Tedean Karissa Green
Mrs. Tedean Karissa Green is an Otolaryngology in Detroit, Michigan. Graduated from Loma Linda University School of Medicine in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.
- Years since qualifying
- 10
- Trained at
- Loma Linda University School of Medicine
- In the registry since
- 2016
Practice location Address checks out
Detroit, MINo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1699122630 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 19, 2016 |
| Last updated in NPPES | July 1, 2026 |
| Certification date | July 1, 2026 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2016 (10 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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