Individual
ABRAHAM JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 W BELTLINE HWY STE 200, MADISON, WI 53713-2319
(608) 287-2434
Mailing address
4100 W 15TH ST, PLANO, TX 75093-5803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L4465
TX
207RC0000X
Cardiovascular Disease Physician
Primary
72513
WI
207RC0000X
Cardiovascular Disease Physician
L4465
TX
207RC0000X
Cardiovascular Disease Physician
ME147539
FL
207RI0011X
Interventional Cardiology Physician
ME147539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109091200
—
FL
05
—
159752802
—
TX
01
—
4248433
BLUE LINK
TX
01
—
P00257564
RR MCARE
TX
Enumeration date
06/07/2006
Last updated
03/06/2026
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