Individual provider · NPI-1

Dr. Philip Mulayara Abraham, MD

Hospitalist · Saint Louis, MO

NPI number1720309016
StatusActive
Last updated in NPPESApr 15, 2025

Details

NPI
1720309016
Entity type
Individual (NPI-1)
Name
Dr. Philip Mulayara Abraham
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 21, 2010
Last updated
Apr 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist2015013272MOYes
207PP0204X Emergency Medicine, Pediatric Emergency Medicine2015013272MO
208000000X Pediatrics2015013272MO

Practice location

1 Childrens Pl
Div Ped Hospitalist Med
Saint Louis, MO 63110-1002

Phone 314-454-2076 · Fax 314-747-8953

Mailing address

Po Box 7412011
Chicago, IL 60674-2011

Phone 314-454-2076 · Fax 314-747-8953

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