Individual
DR. PREMA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 3RD ST, RAPID CITY, SD 57701-7374
(605) 341-2000
(605) 719-3211
Mailing address
2800 3RD ST, RAPID CITY, SD 57701-7374
(605) 341-2000
(605) 719-3211
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
3996
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6301392
—
SD
Enumeration date
01/18/2006
Last updated
03/15/2021
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