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MARY ABRAHAM MD NPI 1285644526


NPI Information

NPI: 1285644526
Provider Name: MARY ABRAHAM, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
350 WINN WAY
DECATUR, GA
ZIP 30030
Phone: (404) 508-1177
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Mary Abraham, MD is a pediatrics in Decatur, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Mary Abraham, MD NPI is 1285644526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

350 WINN WAY
DECATUR, GA
ZIP 30030-106
Phone: (404) 508-1177
Fax: (404) 508-9640

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/23/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics056399GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152704327OTHERGEORGIABCBS
2I51149MEDICARE UPIN
337BBHCQMEDICARE ID-TYPE UNSPECIFIED
4236258795AMEDICAIDGEORGIA
5335588OTHERGEORGIAWELLCARE
610045386OTHERGEORGIAAMERIGROUP
7335853OTHERGEORGIAWELLCARE
8335854OTHERGEORGIAWELLCARE
9236258795DMEDICAIDGEORGIA
107673845OTHERGEORGIAAETNA
112625722OTHERGEORGIAUHC
12236258795BMEDICAIDGEORGIA
13335852OTHERGEORGIAWELLCARE
142947741OTHERGEORGIACIGNA
15236258795CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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