National Provider Identifier
Thundathil O Abraham, M.D
Thundathil O Abraham, M.D is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Rochester, NY and a listed phone number of (585) 463-2692.
Profile Overview
- NPI
- 1891741542
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- May 25, 2006
- Last Updated
- July 08, 2007
Practice Location
- 465 Westfall RD
- Rochester, NY 14620-4645
Phone: (585) 463-2692
Mailing Address
- 116 Roby Dr
- Rochester, NY 14618-2114
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1891741542
- Entity Type
- Individual
- Last Name
- Abraham
- First Name
- Thundathil
- Middle Name
- O
- Name Prefix
- Dr.
- Credential
- M.D
- Provider Other Last Name
- Abraham
- Provider Other First Name
- Thundathil
- Provider Other Middle Name
- O
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- M.D
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 116 Roby Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-2114
- Mailing Country
- US
- Mailing Phone
- (585) 463-2692
- Mailing Fax
- (585) 463-2669
- Practice Street Address
- 465 Westfall RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4645
- Practice Country
- US
- Practice Phone
- (585) 463-2692
- Practice Fax
- (585) 463-2669
- Enumeration Date
- May 25, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- Taxonomies
- Psychiatry Physician (2084P0800X)