Individual
ABRAHAM PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 745-1111
Mailing address
PO BOX 632242, CINCINNATI, OH 45263-2242
(800) 503-6254
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35051344
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000018142
BLUE CROSS BLUE SHIELD
OH
05
—
0754509
—
OH
05
—
200225230A
—
IN
05
—
200225230C
—
IN
05
—
200225230D
—
IN
05
—
200225230E
—
IN
05
—
200225230F
—
IN
01
—
220014350
RAILROAD MEDICARE
—
05
—
64935927
—
KY
Enumeration date
01/10/2006
Last updated
06/10/2010
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