Renny Abraham is a Pediatrics in Clarkston, Michigan. Renny Abraham practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Renny Abraham is 1811995673. The last update date is 2023-04-24.
Renny Abraham's current location address is 5701 Bow Pointe Drive, Clarkston, Michigan. You can contact this provider via phone number 2486252621 and fax number 2486252622. The mailing address for Renny Abraham is 5701 Bow Pointe Drive, Clarkston, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renny Abraham |
|---|---|
| Address | 5701 Bow Pointe Drive, Clarkston, Michigan |
| Phone Number | 2486252621 |
| Fax Number | 2486252622 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811995673 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2023-04-24 |
Provider Mailing Address Detail
| Address | 5701 Bow Pointe Drive |
|---|---|
| City | Clarkston |
| State | Michigan (MI) |
| Post Code | 483463199 |
| Phone Number | 2486252621 |
| Fax Number | 2486252622 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 4301074879 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01235908 | MI | RAILROAD MEDICARE IND PIN | |
| 1811995673 | MI | -- | |
| 1106312642 | MI | BCBS IND |
Post Comment/ Review Below
What is the unique provider identifier assigned to Renny Abraham?
The Renny Abraham has been issued the NPI (National Provider Identifier) 1811995673 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Renny Abraham located?
The Renny Abraham is located at 5701 Bow Pointe Drive, Clarkston, MI 483463199.
What is the Renny Abraham's specialty and taxonomy code?
The Renny Abraham's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
When did the Renny Abraham receive its 1811995673?
The Renny Abraham was issued its 1811995673 on 2005-07-14, which is the date when the organization was assigned this unique identifier.
As of what date were the Renny Abraham's details last updated?
The information pertaining to the Renny Abraham, including its address, specialty, and other details, was most recently updated on 2023-04-24.