Individual
DANA C ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 816, LITTLE ROCK, AR 72205-5302
(501) 492-2600
(501) 492-2601
Mailing address
500 S UNIVERSITY AVE, SUITE 816, LITTLE ROCK, AR 72205-5302
(501) 492-2600
(501) 492-2601
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C7650
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130763001
—
AR
01
—
1474900000
QUALCHOICE OF ARKANSAS
AR
01
—
A5801088
AETNA INSURANCE
AR
Enumeration date
06/22/2006
Last updated
05/07/2019
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