Individual provider · NPI-1

Dr. George Abraham, M.D.

Pediatrics, Pediatric Emergency Medicine · Kansas City, MO

NPI number1114156221
StatusActive
Last updated in NPPESNov 25, 2025

Details

NPI
1114156221
Entity type
Individual (NPI-1)
Name
Dr. George Abraham
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 9, 2009
Certification date
Nov 25, 2025
Last updated
Nov 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0204X Pediatrics, Pediatric Emergency Medicine2012019219MOYes
2080P0204X Pediatrics, Pediatric Emergency Medicine04-42760KS

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Phone 816-234-3000

Mailing address

2401 Gillham Rd
Provider Enrollment Dept
Kansas City, MO 64108-4619

Phone 816-701-5200 · Fax 816-302-9939

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