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NPI Code Detail

MEDICARE: DR. SHIBIN THOMAS ABRAHAM MD

MEDICARE:  DR. SHIBIN THOMAS ABRAHAM  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianU6660TX
2208M00000XHospitalist PhysicianU6660TX

General Provider Information

NPI Number : 1548880909
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHIBIN THOMAS ABRAHAM MD
Provider Business Mailing Address
First Line : 920 FROSTWOOD DR
Second Line : 2.300 FL 2
City : HOUSTON
State : TX
Zip : 77024-2314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7600 BEECHNUT ST FL 8
Second Line :
City : HOUSTON
State : TX
Zip : 77074-4302
Country : US
Telephone Number : 713-456-5686
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2020
Last Update Date : 03/11/2026

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