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Individual
DR. SAM S ABRAHAM
Active
Individual
DR. SAM S ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P4730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197531001
—
TX
05
—
197531002
—
TX
01
—
8DK072
BCBS
TX
01
—
8Y8044
BLUE CROSS BLUE SHIELD
TX
01
—
P01141090
RAILROAD MEDICARE
TX
Enumeration date
09/19/2008
Last updated
12/18/2019
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