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NPI Code Detail

MEDICARE: DR. CHINEDU ABARA MD

MEDICARE:  DR. CHINEDU  ABARA  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
1207L00000XAnesthesiology Physician242707NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023010212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHINEDU ABARA MD
Provider Business Mailing Address
First Line : 10 COMMERCE DR
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-5214
Country : US
Telephone Number : 914-637-2067
Fax Number : 914-819-0061
Provider Business Practice Location Address
First Line : 1300 MASSACHUSETTS AVE
Second Line :
City : TROY
State : NY
Zip : 12180-1628
Country : US
Telephone Number : 518-268-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 12/10/2007

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