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NPI Code Detail

MEDICARE: SENAIT Y ABRAHAM

MEDICARE: SENAIT Y ABRAHAM
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
1208000000XPediatrics PhysicianMD00041209WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD00041209OTHERWASTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033287974
Entity Type Code : Individual
Provider Name (Legal Business Name) : SENAIT Y ABRAHAM
Provider Business Mailing Address
First Line : PO BOX 34703
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1703
Country : US
Telephone Number : 206-764-3335
Fax Number : 206-764-0489
Provider Business Practice Location Address
First Line : 9650 15TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98106-2820
Country : US
Telephone Number : 206-965-1000
Fax Number : 206-965-1001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 03/06/2008

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Directions to “ SENAIT Y ABRAHAM ” Practice Location

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