Abraham, Philip Mulayara

Abraham, Philip Mulayara is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Hospitalist Med, Saint Louis MO 63110-1002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Abraham, Philip Mulayara can be contacted via phone (314) 454-2076.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Hospitalist Med Saint Louis MO 63110-1002
Phone: (314) 454-2076
Fax: (314) 747-8953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 2015013272 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2015013272 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2015013272 Missouri

Profile Details

NPI number 1720309016
LBN Legal business name Abraham, Philip Mulayara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2010
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 1720309016 NPPES
Missouri MEDICAID 200008950

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