Individual
NIRMALA ROSE ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 MIAMISBURG CENTERVILLE RD, MIAMISBURG, OH 45342-7615
(937) 384-4511
(937) 384-3837
Mailing address
4000 MIAMISBURG CENTERVILLE RD, PHYSICIAN OFFICE BUILDING, SUITE 420, MIAMISBURG, OH 45342-7615
(937) 384-4511
(937) 384-3837
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A78127
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.096133
OH
208VP0000X
Pain Medicine Physician
Primary
35.096133
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A781270
BLUE SHIELD OF CA
CA
05
—
00A781270
—
CA
01
—
00A781270303
CALOPTIMA
CA
05
—
3109488
—
OH
01
—
P00087619
RR MEDICARE
CA
Enumeration date
06/06/2006
Last updated
10/17/2024
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