Abraham, Mini R

Abraham, Mini R is an individual health care provider with primary practice located at 10000 College Blvd , Overland Park KS 66210-1435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Abraham, Mini R can be contacted via phone (913) 258-5055.

Contact Information

Primary practice address
10000 College Blvd Overland Park KS 66210-1435
Fax: (913) 258-5057
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 04-30134 Kansas

Profile Details

NPI number 1023002565
LBN Legal business name Abraham, Mini R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jun 10th, 2021 - about 3 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 1023002565 NPPES
Kansas MEDICAID 200608690A
Kansas MEDICAID 1023002565

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