Individual
DR. ALI F ABURAHMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 MACCORKLE AVE SE FL 4, CHARLESTON, WV 25304-1227
(304) 388-5590
(304) 388-8238
Mailing address
PO BOX 7000, MORGANTOWN, WV 26507-7000
(304) 347-1290
(304) 347-1397
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
10516
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128106000
—
WV
01
—
0931982
MEDICARE PTAN
WV
Enumeration date
09/28/2006
Last updated
08/12/2016
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