Abraham, Raju Zachariah
Abraham, Raju Zachariah is an individual health care provider with primary practice located at 500 N Wall St Ste C400 , Kankakee IL 60901-2942. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Abraham, Raju Zachariah can be contacted via phone (815) 933-3814.Contact Information
Primary practice address
500 N Wall St Ste C400
Kankakee IL 60901-2942
Phone: (815) 933-3814
Fax: (815) 933-3846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036085787 | Illinois |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 036085787 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036-085787 | Illinois |
Profile Details
| NPI number | 1003830852 |
|---|---|
| LBN Legal business name | Abraham, Raju Zachariah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jan 11th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003830852 | NPPES |
| Illinois | MEDICAID | 036085787 |
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