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NPI Code Detail

MEDICARE: DR. RANI MANALOOR ABRAHAM M.D.

MEDICARE:  DR. RANI MANALOOR 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
12084P0805XGeriatric Psychiatry PhysicianMD421717PA
22084P0800XPsychiatry PhysicianMD421717PA
32084P0804XChild & Adolescent Psychiatry PhysicianMD421717PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME129968OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1821238114
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANI MANALOOR ABRAHAM M.D.
Provider Business Mailing Address
First Line : 110 S WOODLAND ST
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3546
Country : US
Telephone Number : 407-905-8827
Fax Number : 407-905-8998
Provider Business Practice Location Address
First Line : 7912 FOREST CITY ROAD
Second Line :
City : FOREST CITY SPECIALTLY FAMILY
State : FL
Zip : 32806
Country : US
Telephone Number : 407-905-8827
Fax Number : 407-209-3220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2009
Last Update Date : 05/16/2023

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Directions to “ DR. RANI MANALOOR ABRAHAM M.D.” Practice Location

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