Individual
MINI R ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10000 COLLEGE BLVD, OVERLAND PARK, KS 66210-1435
(913) 258-5055
(913) 258-5057
Mailing address
10550 QUIVIRA RD, SUITE 530, OVERLAND PARK, KS 66215-2306
(913) 599-3828
(913) 599-3451
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
04-30134
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023002565
—
MO
05
—
200608690A
—
KS
Enumeration date
09/09/2005
Last updated
06/10/2021
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