Boban Abraham

MD | Pediatric Cardiology | Male

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Complete Profile:

Boban Abraham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	Boban Abraham
Credential :	MD
Gender :	Male

Business Address:

Boban Abraham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	160 E Erie Avenue Philadelphia, PA, 19134 United States
Phone Number :	215-427-5000
Fax Number :	770-488-9408

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1992929145
NPI Entity Type :	Individual
First Enrolment Date :	12 Apr, 2007
Last Updated On :	20 Mar, 2023

Medicare Participation:

Boban Abraham participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8820267792
Medicare Enrollment ID :	I20150729010008
Primary Specialty :	Internal Medicine
Medical School :	Other
Graduation Year :	2002
Accepts Medicare?	Yes. Boban Abraham accepts medicare insurance.

Group Practice Association:

Boban Abraham is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Boban Abraham is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Professional Service Fund Of Deborah Heart And Lung Center	4284537499	103	200 Trenton Rd Browns Mills, NJ - 080151705 Ph: 6098936611	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Boban Abraham are as mentioned. Primary taxonomy code for Boban Abraham, MD is 2080P0202X (Pediatrics, Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	MD454739	PA
2080P0202X	Pediatrics, Pediatric Cardiology	Yes	MD454739	PA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 13579 Reading, PA, 19612-3579 United States
Phone Number :	484-628-1324

Business Location:

Patients can refer following map for directions to Boban Abraham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.