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ANITA ABRAHAM M.D.

Endocrinology, Diabetes & Metabolism >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1558380337

Individual Registrant:
 ANITA  ABRAHAM M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3640 NW SAMARITAN DR SUITE 270 CORVALLIS, OR 97330-3784 US
Tel: 541-768-7900  Fax: 541-768-5218

Contact information for business:
3640 NW SAMARITAN DR SUITE 270 CORVALLIS, OR 97330-3784 US
Tel: 541-768-7900  Fax: 541-768-5218

Registration Information:
NPI: 1558380337
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RE0101XAllopathic & Osteopathic Physicians
Internal Medicine
Endocrinology, Diabetes & Metabolism
ORMD175705
N207RE0101XAllopathic & Osteopathic Physicians
Internal Medicine
KS0431708
N207RE0101XAllopathic & Osteopathic Physicians
Internal Medicine
MO2002021168

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
200377620AKS05
200704807MO05
500705761OR05




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