Individual
EDWARD ABRAHAM III
Active
Individual
EDWARD ABRAHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
27226
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935718
—
AL
01
—
02300213
MISSISSIPPI MEDICAID
MS
01
—
051533575
BLUE CROSS
AL
01
—
051533576
BLUE CROSS
AL
Enumeration date
05/19/2006
Last updated
08/07/2024
Update your record
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