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Individual

ANISHA A ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-5437
Mailing address
PO BOX 631856, BALTIMORE, MD 21263-1856

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21850
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010027845
VA
05
035244100
DC
05
819900100
MD
Enumeration date
07/12/2005
Last updated
01/29/2008
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