Provider Demographics
NPI:1144456237
Name:ABRAHAM, ANITHA T (MD)
Entity type:Individual
Prefix:PROF
First Name:ANITHA
Middle Name:T
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:PROF
Other - First Name:ANITHA
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7015 ALMEDA RD
Mailing Address - Street 2:STE 2510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2101
Mailing Address - Country:US
Mailing Address - Phone:713-513-7711
Mailing Address - Fax:281-949-6061
Practice Address - Street 1:7777 SOUTHWEST FWY
Practice Address - Street 2:STE 724
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1802
Practice Address - Country:US
Practice Address - Phone:713-456-6864
Practice Address - Fax:713-456-6686
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM97692084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology