Individual
DR. THOMAS ABEY ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5020 LAKE FOREST DR, KALAMAZOO, MI 49008-3382
(269) 381-1864
Mailing address
5020 LAKE FOREST DR, KALAMAZOO, MI 49008-3382
(269) 381-1864
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
TA036531
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118361
GRT LAKES HLTH PLAN
—
05
—
1386418
—
MI
01
—
290006922
RAILROAD MEDICARE
MI
01
—
290390013
BCBS IND PIN
—
01
—
290C913410
BCBS GRP PIN
—
01
—
290C96034
BC/BS OF MICHIGAN
MI
01
—
382356205106
COMMUNITY CHOICE OF MICH
MI
01
—
4379445
AETNA
—
01
—
4809115
PHP
—
01
—
4830001
PHP
MI
05
—
4986915
—
MI
01
—
P00606307
RAILROAD MEDICARE
MI
01
—
P55003
BLUECARE NETWORK
MI
Enumeration date
09/12/2006
Last updated
08/13/2012
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