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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063419166 | NPPES |
| Indiana | MEDICAID | 200816520 |
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