MEDICARE: AFREEN 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
1	208000000X	Pediatrics Physician	4301513168	MI

General Provider Information

NPI Number	:	1811559172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AFREEN ABRAHAM MD

Provider Business Mailing Address
First Line	:	1201 SOUTH DR STE 341
Second Line	:
City	:	MOUNT PLEASANT
State	:	MI
Zip	:	48858-3255
Country	:	US
Telephone Number	:	989-953-5313
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 SOUTH DR STE 341
Second Line	:
City	:	MOUNT PLEASANT
State	:	MI
Zip	:	48858-3255
Country	:	US
Telephone Number	:	989-953-5313
Fax Number	:	989-953-5316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2019
Last Update Date	:	09/04/2025

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