Individual provider · NPI-1

John Abraham, MD

Family Medicine · Tulsa, OK

NPI number1962634535
StatusActive
Last updated in NPPESDec 17, 2024

Details

NPI
1962634535
Entity type
Individual (NPI-1)
Name
John Abraham
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 17, 2009
Certification date
Dec 17, 2024
Last updated
Dec 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine27255OKYes

Practice location

1705 E 19th St Ste 600
Tulsa, OK 74104-5417

Phone 918-872-6880 · Fax 918-293-3156

Mailing address

1705e 19th St 302
Tulsa, OK 74104-5410

Phone 918-748-7585

Other practice locations

632 Broadway Ph
New York, NY 10012-2614

Phone 800-731-4254

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