Active NPIIndividual provider

Susan Abraham, MD

Internal Medicine in Peoria, Illinois

NPI Number1598926818
Practice location
530 NE Glen Oak Ave, Uicomp Dept. Of Internal Medicine, Peoria, IL 61637-0001
Fax
—
Last updated
April 14, 2016

Susan Abraham is an Internal Medicine based in Peoria, IL. Susan Abraham practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Susan Abraham is 1598926818 and holds a License No. MD60608405 (WA). The current practice location address for Susan Abraham is 530 NE Glen Oak Ave, Uicomp Dept. Of Internal Medicine, Peoria, IL 61637-0001 and can be reached out via phone at 309-253-5047.

Provider Profile Details

NPI Number
1598926818
Provider Name
Susan Abraham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
530 NE Glen Oak Ave, Uicomp Dept. Of Internal Medicine, Peoria, IL 61637-0001
Phone Number
309-253-5047
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Other Names
Ms. Susan Hambazaza, MD (Former Name)
Provider Enumeration Date
June 19, 2008
Last Update Date
April 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
530 NE Glen Oak Ave
Uicomp Dept. Of Internal Medicine
Peoria, IL 61637-0001
City
Peoria
Zip
61637-0001
Phone Number
309-253-5047
Peoria, IL 61637Get directions →

Provider Business Mailing Address Details

Address
Po Box 3360
Portland, OR 97208-3360
City
Portland
State
OR
Zip
97208-3360
Phone Number
360-493-4069

License Information

License Number
MD60608405
License State
WA
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan Abraham, MD?

The NPI number of Susan Abraham, MD is 1598926818. It was assigned on June 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Susan Abraham, MD?

Susan Abraham, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in WA under license number MD60608405.

Where does Susan Abraham, MD practice?

The practice location is 530 NE Glen Oak Ave, Uicomp Dept. Of Internal Medicine, Peoria, IL 61637-0001. The office can be reached at 309-253-5047 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598926818 directly on the NPPES registry website.

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