Provider Demographics
NPI:1578767166
Name:ABRAHAM, BINCY PAULOSE (MD)
Entity Type:Individual
Prefix:DR
First Name:BINCY
Middle Name:PAULOSE
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 1201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-3372
Mailing Address - Fax:713-797-0622
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 1201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-3372
Practice Address - Fax:713-797-0622
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP4-0022569207RG0100X
TXM9111207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8EE580OtherBLUE CROSS BLUE SHIELD
TX195009906Medicaid
TX8EB625OtherBLUE CROSS BLUE SHIELD
TX195009907Medicaid
TX8EB625OtherBLUE CROSS BLUE SHIELD
TX8EE580OtherBLUE CROSS BLUE SHIELD
TX195009907Medicaid
TX327072YMVQMedicare PIN
466812139OtherMYUTMB 466812139-COMMERCIAL NUMBER
TX8EB625OtherBLUE CROSS BLUE SHIELD
TX8L0268Medicare PIN