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NPI Verification

National Provider Identifier: 1336589118

Pratibha Mary Abraham, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

1011 BOWLES AVE STE 300

FENTON, MO 630262387

Phone: 636-496-5048

NPI Enumeration Date

June 26, 2013

NPI Number

1336589118

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry