Male or Other

Renny Abraham MD

Internal Medicine Physician in Oxford, MI(View on Map)

Full Name

Renny Abraham MD

NPI Number

1811995673

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/14/2005

Specialties

(Taxonomies)

Code

207R00000X
208000000X

Primary Taxonomy

Yes
No

Licenses

State

Michigan
Michigan

License Number

RA074879
4301074879

Contact
Information

Purpose

Mailing
Location

Address

5701 BOW POINTE DRIVE
834 S LAPEER RD STE 100

City

Clarkston
Oxford

State

MI
MI

Postal Code

48346-3199
48371-5039

Country

US
US

Telephone Number

(248) 625-2621
(248) 384-8320

Identifiers

Identifier

P01235908
1811995673
1106312642

Identifier State

MI
MI
MI

Identifier Issuer

RAILROAD MEDICARE IND PIN
Unknown
BCBS IND

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/24/2023

Provider Address

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