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Individual
DR. MALIK ABRAHAM
Active
Individual
DR. MALIK ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003708
IL
213E00000X
Podiatrist
PO 3467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160037081
—
IL
01
—
01634499
BCBS
IL
Enumeration date
11/10/2005
Last updated
06/11/2014
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