Abraha, Daniel

Abraha, Daniel is an individual health care provider with primary practice located at 7950 W Jefferson Blvd Suite 210, Fort Wayne IN 46804-4140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Abraha, Daniel can be contacted via phone (260) 435-7355.

Contact Information

Primary practice address
7950 W Jefferson Blvd Suite 210 Fort Wayne IN 46804-4140
Phone: (260) 435-7355
Fax: (260) 435-7637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 01061925A Indiana

Profile Details

NPI number 1063419166
LBN Legal business name Abraha, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Sep 23rd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063419166 NPPES
Indiana MEDICAID 200816520

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