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
Phone: (913) 258-5055
Fax: (913) 258-5057
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023002565 | NPPES |
Kansas | MEDICAID | 200608690A | |
Kansas | MEDICAID | 1023002565 |
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