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NPI Code Detail

MEDICARE: ESHA ABRAHAM M.D.

MEDICARE: ESHA ABRAHAM M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208100000XPhysical Medicine & Rehabilitation PhysicianR7057TX

General Provider Information

NPI Number : 1841619806
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESHA ABRAHAM M.D.
Provider Business Mailing Address
First Line : 1001 RAINTREE CIR
Second Line :
City : ALLEN
State : TX
Zip : 75013-4912
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1001 RAINTREE CIR
Second Line :
City : ALLEN
State : TX
Zip : 75013-4912
Country : US
Telephone Number : 972-908-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2014
Last Update Date : 03/13/2024

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Directions to “ ESHA ABRAHAM M.D.” Practice Location

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