MISS NITHA MARY ABRAHAM (NPI# 1841766599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841766599 |
| Entity Type | Individual |
| Full Name | MISS NITHA MARY ABRAHAM |
| Credential | PA |
| Practice Address |
15120 Michigan Ave Dearborn MI 48126-3768 |
| Practice Telephone | 3138438300 |
| Mailing Telephone | 3138438300 |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2018-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601008874 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15120 MICHIGAN AVE |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588651897 | Mustafa Siraj Bohra | Internal Medicine | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2005-10-03 |
| 1760996797 | Fatima Syed | Nurse Practitioner | 15120 Michigan Ave, Dearborn, MI 48126 | 2017-11-29 |
| 1629527734 | Dearborn Community Care Pharmacy LLC | Pharmacy | 15120 Michigan Ave, Dearborn, MI 48126-3768 | 2016-09-30 |
| 1619304490 | Mark Hnatiuk Md Plc | Otolaryngology | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2013-10-11 |
| 1659560696 | Oakman Medical Group P.C. | Internal Medicine | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2007-10-16 |
| 1346323458 | Melda Luzadas | Physical Medicine & Rehabilitation | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2006-10-23 |
| 1922199850 | Mustafa S Bohra Md Plc | Internal Medicine | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2006-09-27 |
| 1609839315 | George W Hnatiuk | Internal Medicine | 15120 Michigan Ave, Dearborn, MI 48126-2916 | 2006-04-11 |
| 1730149451 | Eduardo Garcia | Internal Medicine | 15120 Michigan Ave, Suite A, Dearborn, MI 48126-2916 | 2006-03-25 |
| 1811956139 | Samer Salka | Internal Medicine | 15120 Michigan Ave, Suite A, Dearborn, MI 48126-2916 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326664194 | Ibrahim Humaisan | Physician Assistant | 1769 Walnut St, Dearborn, MI 48124-4025 | 2020-06-17 |
| 1518514900 | Afrah Saadi | Physician Assistant | 3375 Hollywood St, Dearborn, MI 48124-4360 | 2019-08-21 |
| 1801352067 | Stacey Marie Stewart | Physician Assistant | 3021 Grindley Park St, Dearborn, MI 48124-4522 | 2019-02-13 |
| 1407206105 | Ayah Jaafar | Physician Assistant | 15120 Prospect St, Dearborn, MI 48126-2922 | 2016-06-14 |
| 1174970693 | Jaber Mawiri | Physician Assistant | 5402 Bingham St, Dearborn, MI 48126-3306 | 2016-05-16 |
| 1699134080 | Mohamad Nehme | Physician Assistant | 5200 Orchard Ave, Dearborn, MI 48126-4620 | 2016-02-15 |
| 1578948220 | Eaman Alhaider | Physician Assistant | 3053 Lindenwood Dr, Dearborn, MI 48120-1311 | 2015-07-23 |
| 1922384064 | Cynthia Kler Rockwell | Physician Assistant | 330 Town Center Dr, Dearborn, MI 48126-2738 | 2011-11-02 |
| 1083902217 | Lena Sarsam | Physician Assistant | 10306 Dix Ave., Dearborn, MI 48120 | 2011-07-21 |
| 1356656706 | Lisa Reuter | Physician Assistant | 2040 Monroe St Ste 207, Dearborn, MI 48124-2950 | 2010-08-10 |
| Find all providers in DEARBORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.