Abraham, Anita

Abraham, Anita is an individual health care provider with primary practice located at 2545 W Hammer Ln , Stockton CA 95209-2839. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Abraham, Anita can be contacted via phone (209) 943-2041.

Contact Information

Primary practice address
2545 W Hammer Ln Stockton CA 95209-2839
Phone: (209) 943-2041
Fax: (209) 473-9365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X C142479 California

Profile Details

NPI number 1558380337
LBN Legal business name Abraham, Anita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 9th, 2019 - about 5 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 1558380337 NPPES
Kansas MEDICAID 200377620A
Kansas MEDICAID 200704807
Kansas MEDICAID 500705761

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