Individual
DANIEL ABRAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7950 W JEFFERSON BLVD, SUITE 210, FORT WAYNE, IN 46804-4140
(260) 435-7355
(260) 435-7637
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
01061925A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200816520
—
IN
Enumeration date
07/05/2005
Last updated
09/23/2020
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