Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | K2393 | TX |
NPI | 1033178223 |
---|---|
Provider Name | Dr. Sindhu A Abraham |
First Address | Dallas, TX 75247-4228 |
Second Address | Plano, TX 75093-3311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 18/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041856801 | (05) | TX |
8314K0 | BCBSTX (01) | TX |
H12638 | (02) | TX |