Abochamh, Dia
Abochamh, Dia is an individual health care provider with primary practice located at 3921 N Twin City Hwy , Port Arthur TX 77642-2118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Abochamh, Dia can be contacted via phone (409) 963-0000.Contact Information
Primary practice address
3921 N Twin City Hwy
Port Arthur TX 77642-2118
Phone: (409) 963-0000
Fax: (409) 963-1899
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | K2392 | Texas |
Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | K2392 | Texas |
Profile Details
NPI number | 1417952029 |
---|---|
LBN Legal business name | Abochamh, Dia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 20th, 2005 |
Last updated | Nov 11th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417952029 | NPPES |
Texas | Other | K2392 | LICENSE NO |
Texas | MEDICAID | 169540501 | LICENSE NO |
Texas | Other | P00177686 | LICENSE NO |
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