Daniel Abraha
Pediatric Critical Care Doctor
7950 W Jefferson Blvd Suite 210
Fort Wayne
, Indiana 46804-4140
Daniel Abraha
Pediatric Critical Care Doctor
7950 W Jefferson Blvd Suite 210
Fort Wayne
, Indiana 46804-4140
(260) 479-3520
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Daniel Abraha
- 6920 Pointe Inverness Way Ste 200
- Fort Wayne, IN
- Zip : 46804-7934
- Fax : (260) 479-3520
- Phone : (260) 479-3516
Second Address
- Daniel Abraha
- 7950 W Jefferson Blvd Suite 210
- Fort Wayne, IN
- Zip : 46804-4140
- Fax : (260) 435-7637
- Phone : (260) 435-7355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 01061925A | IN |
National Provider Identifier
| NPI | 1063419166 |
|---|---|
| Provider Name | Daniel Abraha |
| First Address | Fort Wayne, IN 46804-7934 |
| Second Address | Fort Wayne, IN 46804-4140 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2005 |
| Last Update Date | 23/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200816520 | (05) | IN |
| H61051 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.