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Contact Information

LADLY ABRAHAM, MD
650 UNITED DR STE 200
CONWAY, AR72032-7001
 Phone: 501-852-5500
 Fax: 501-358-6196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LADLY ABRAHAM · (Male)

NPI Number 1972537090
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 03/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E2894
  • AR Medicaid 145047001
Hospital affiliation(s)
  • CONWAY REGIONAL MEDICAL CENTER - (Acute Care)
    2302 COLLEGE AVENUE
    CONWAY, AR 72034
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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