Individual
DR. PHILIP MULAYARA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV PED HOSPITALIST MED, SAINT LOUIS, MO 63110-1002
(314) 454-2076
(314) 747-8953
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-2076
(314) 747-8953
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
2015013272
MO
208000000X
Pediatrics Physician
2015013272
MO
208M00000X
Hospitalist Physician
Primary
2015013272
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008950
—
MO
Enumeration date
06/21/2010
Last updated
04/15/2025
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