Abraham, Raju Zachariah

Abraham, Raju Zachariah is an individual health care provider with primary practice located at 500 N Wall St Ste C400 , Kankakee IL 60901-2942. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Abraham, Raju Zachariah can be contacted via phone (815) 933-3814.

Contact Information

Primary practice address
500 N Wall St Ste C400 Kankakee IL 60901-2942
Fax: (815) 933-3846
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036085787 Illinois
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 036085787 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036-085787 Illinois

Profile Details

NPI number 1003830852
LBN Legal business name Abraham, Raju Zachariah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 11th, 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 1003830852 NPPES
Illinois MEDICAID 036085787

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