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JOEL VERGHESE ABRAHAM MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1952511917

Individual Registrant:
 JOEL VERGHESE ABRAHAM MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
10051 5TH ST N STE 200  ST PETERSBURG, FL 33702-2211 US
Tel: 727-824-0780  Fax: 813-514-8891

Contact information for business:
10051 5TH ST N STE 200  ST PETERSBURG, FL 33702-2211 US
Tel: 727-824-0780  Fax: --

Registration Information:
NPI: 1952511917
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
KY48651
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
MO2014013908
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
NY2552631
N207RA0401XAllopathic & Osteopathic Physicians
Internal Medicine
KY48651
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
FLME110079

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
7100377280KY05
SIHO209272KY01
ANTHEM000296467KY01
003667400FL05
PASSPORT50101122KY01




HEALTH CARE JOBS FL - Page 1



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