Paul Allan Abraham, MD | |
401 Phalen Blvd, Mail Stop 41103c, St Paul, MN 55101-5302 | |
(651) 254-7850 | |
(651) 254-7857 |
Full Name | Paul Allan Abraham |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 401 Phalen Blvd, St Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477528438 | NPI | - | NPPES |
043870700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 22591 (Minnesota) | Primary |
Entity Name | West Side Community Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647 |
Mailing Address | Practice Location Address |
---|---|
Paul Allan Abraham, MD 401 Phalen Blvd, Ms 41103c, Saint Paul, MN 55130-5302 Ph: (651) 254-7850 | Paul Allan Abraham, MD 401 Phalen Blvd, Mail Stop 41103c, St Paul, MN 55101-5302 Ph: (651) 254-7850 |
William Robert Jahnke Ii, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Ste 250, St Paul, MN 55102 Phone: 651-772-6251 Fax: 651-224-9661 | |
Dr. Neil P Phelan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2550 University Ave West, Suite 423 South, St Paul, MN 55114 Phone: 612-870-5557 Fax: 612-870-5857 | |
Dr. Josaleen Muzquiz Davis, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1055 Westgate Dr, Ste 100, St Paul, MN 55114 Phone: 122-627-8006 | |
Randolph W Hurley, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc 11503f, St Paul, MN 55101 Phone: 651-254-3448 Fax: 651-254-3470 | |
Jeffrry P Jaffe, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mc 11530f, St Paul, MN 55101 Phone: 651-254-3448 Fax: 651-254-3470 | |
Ghaziuddin A Qadri, MBBS Nephrology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc11503f, St Paul, MN 55101 Phone: 123-123-1234 Fax: 651-254-3662 | |
Mohamed A Hagi Aden, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, St Paul, MN 55101 Phone: 123-123-1234 Fax: 651-254-3662 |