Individual
DR. SHEEJA K. ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1015 CHESTNUT STREET SUITE 601, NEMOURS CHILDRENS CLINIC, PHILADELPHIA, PHILADELPHIA, PA 19107-4306
(215) 503-2664
(215) 923-0459
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD059230L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001015701
—
DE
05
—
001596077
—
PA
05
—
02714249
—
NY
05
—
4097700
—
MD
05
—
7006802
—
NJ
Enumeration date
10/26/2006
Last updated
09/19/2011
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