Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 0101051799 | VA |
N | 207V00000X | Obstetrician & Gynecologist | D0047186 | MD |
Y | 207V00000X | Obstetrician & Gynecologist | MD21095 | DC |
NPI | 1003963554 |
---|---|
Provider Name | Mary Melody Abraham |
First Address | Washington, DC 20036 |
Second Address | Washington, DC 20036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F98891 | (02) |