Mini George Abraham, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD420895 Issued in PA

Practice address

794 Roble Rd
Allentown, PA 18109-9110

Phone

(877) 402-4221

Fax

(484) 425-8159

NPI assigned

Oct 31, 2005

Last updated

Oct 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr George Abraham PC

  • Psychiatry Physician
  • Paoli, PA
  • NPI 1053418277
  NPD (past)
• Health Network Laboratories, LLC

  dba HNL Genomics (CTGT)

  • Clinical Medical Laboratory
  • Allentown, PA
  • NPI 1548280852
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1295726313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N APPLE TREE LN",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194442602",
            "telephone_number": "610-825-9527",
            "fax_number": "610-825-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 ROBLE RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181099110",
            "telephone_number": "877-402-4221",
            "fax_number": "484-425-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "MINI",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD420895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanadi Abou Dargham, MD
• Sandra Abouafech, CRNP
• Karen Youse Aboyoun, PT
• Christine M Abraham, PHD
• Imad Abraham, D.D.S.
• Zach Mathew Abraham
• Susan Elizabeth Abrams, CRNA
• Sally Abruzzese, M.ED., OTR-L
• Saif Abu-Baker, M.D.
• Esther Acevedo Rosa, MD

• Anatomic Pathology & Clinical Pathology Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.