Joseph, Boban Abraham

Joseph, Boban Abraham is an individual health care provider with primary practice located at 625 S Fair Oaks Ave Ste 280 , Pasadena CA 91105-2670. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Joseph, Boban Abraham can be contacted via phone (626) 817-4747.

Contact Information

Primary practice address
625 S Fair Oaks Ave Ste 280 Pasadena CA 91105-2670
Phone: (626) 817-4747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X A32523 California
Allopathic & Osteopathic Physicians / Uveitis and Ocular Inflammatory Disease 207WX0108X A32523 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A32523 California

Profile Details

NPI number 1639109101
LBN Legal business name Joseph, Boban Abraham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 14th, 2020 - about 4 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 1639109101 NPPES
California MEDICAID 00A32523A

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