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NPI Code Detail

MEDICARE: ZACHARY THOMAS ABURAHMA

MEDICARE:   ZACHARY THOMAS ABURAHMA
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
12086S0129XVascular Surgery Physician3417WV
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1952711053
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY THOMAS ABURAHMA
Provider Business Mailing Address
First Line : 3110 MACCORKLE AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3110 MACCORKLE AVE SE
Second Line :
City : CHARLESTON
State : WV
Zip : 25304-1210
Country : US
Telephone Number : 304-388-8199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2014
Last Update Date : 02/12/2026

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Directions to “ ZACHARY THOMAS ABURAHMA ” Practice Location

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