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Individual

ANIL T ABRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-1248
(484) 622-1269
Mailing address
101 E OLNEY AVE STE 400, PHILADELPHIA, PA 19120-2470
(215) 456-1825
(215) 456-5926

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101253040
VA
207L00000X
Anesthesiology Physician
01092347A
IN
207L00000X
Anesthesiology Physician
036158885
IL
207L00000X
Anesthesiology Physician
268012
NY
207L00000X
Anesthesiology Physician
Primary
35.149429
OH
207L00000X
Anesthesiology Physician
70834
TN
207L00000X
Anesthesiology Physician
D69398
MD
207L00000X
Anesthesiology Physician
MD471434
PA
207L00000X
Anesthesiology Physician
MD471434
PR
207L00000X
Anesthesiology Physician
ME104936
FL
207L00000X
Anesthesiology Physician
T1709
MD
207RC0000X
Cardiovascular Disease Physician
01092347A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001322600
FL
05
103860063
PA
01
145Z0
BLUE CROSS & BLUE SHIELD
05
300085569
IN
05
417768100
MD
Enumeration date
01/29/2007
Last updated
11/08/2024
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