Individual
NAZEM ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
422 KINETIC DR, SUITE B, HUNTINGTON, WV 25701-3883
(304) 523-5100
(304) 523-1750
Mailing address
422 KINETIC DR, SUITE B, HUNTINGTON, WV 25701
(304) 523-5100
(304) 523-1750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
08782
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069960000
—
WV
Enumeration date
03/15/2006
Last updated
08/26/2013
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