Individual
DR. ALEYAMMA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5875 N MAJOR DR, BEAUMONT, TX 77713-9034
(409) 892-2262
(409) 892-3336
Mailing address
6350 CLAYBOURN DR, BEAUMONT, TX 77706-7238
(409) 466-4424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L5209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1559999-01
—
TX
05
—
155999904
—
TX
01
—
P01413058
RAILROAD MEDICARE
TX
Enumeration date
11/29/2006
Last updated
09/02/2016
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