Individual
DR. JACOB E ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MERCY LN, STE 304, HOT SPRINGS, AR 71913-6440
(501) 321-4772
(501) 321-2945
Mailing address
1 MERCY LN, STE 304, HOT SPRINGS, AR 71913-6440
(501) 321-4772
(501) 321-2945
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
E0070
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500560611
RAILROAD MEDICARE
AR
05
—
125247001
—
AR
01
—
2020052
UNITED HEALTHCARE
AR
01
—
5J413
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
05/23/2005
Last updated
10/06/2008
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