Individual
DR. MARIAMMA ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
405 CARRIAGE DR, BECKLEY, WV 25801
(304) 255-5146
(304) 255-3721
Mailing address
405 CARRIAGE DR, BECKLEY, WV 25801
(304) 255-5147
(304) 255-3721
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10060
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091311000
—
WV
Enumeration date
10/17/2006
Last updated
08/07/2010
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