| Ayodele Abraham Md Pllc | |
|
800 Kirnwood Dr Desoto TX 75115-2000 | |
| (972) 632-0030 | |
| Not Available |
| Full Name | Ayodele Abraham Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 800 Kirnwood Dr, Desoto, Texas |
| Authorized Official Name and Position | Ayodele Abraham (PSYCHIATRIST/OWNER) |
| Authorized Official Contact | 9726320030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayodele Abraham Md Pllc 7505 Forest Bend Dr Parker TX 75002-6948 Ph: (972) 632-0030 | Ayodele Abraham Md Pllc 800 Kirnwood Dr Desoto TX 75115-2000 Ph: (972) 632-0030 |
| NPI Number | 1306201900 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 12/23/2015 |
| Medicare PECOS PAC ID | 8729381298 |
|---|---|
| Medicare Enrollment ID | O20160119000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306201900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M9770 (Texas) | Primary |
| Provider Name | Ayodele A Abraham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437378999 PECOS PAC ID: 8123166006 Enrollment ID: I20140204001221 |
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