Abraham, Manjusha

Abraham, Manjusha is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Critical Care Med, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Abraham, Manjusha can be contacted via phone (314) 454-2527.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Critical Care Med Saint Louis MO 63110-1002
Phone: (314) 454-2527
Fax: (314) 747-8880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 2015028748 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2015028748 Missouri

Profile Details

NPI number 1508126699
LBN Legal business name Abraham, Manjusha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated Apr 25th, 2024 - about 7 months 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 1508126699 NPPES
Missouri MEDICAID 200060677

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