Abraham, Tanya Mary

Abraham, Tanya Mary is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Abraham, Tanya Mary can be contacted via phone (317) 944-4842.

Contact Information

Primary practice address
705 Riley Hospital Dr Indianapolis IN 46202-5109
Phone: (317) 944-4842
Fax: (317) 948-0126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01072579A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44964 Kentucky

Profile Details

NPI number 1629210315
LBN Legal business name Abraham, Tanya Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2009
Last updated Nov 18th, 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 1629210315 NPPES
Indiana MEDICAID 201153630
Indiana Other P01221065

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