Provider Demographics
NPI:1689814584
Name:ABRAHAM, MARGARET SONYA (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:SONYA
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARGARET
Other - Middle Name:SONYA
Other - Last Name:MULVIHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3606 IBIS DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-2916
Mailing Address - Country:US
Mailing Address - Phone:716-512-4909
Mailing Address - Fax:
Practice Address - Street 1:821 HERNDON AVE UNIT 141436
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-7601
Practice Address - Country:US
Practice Address - Phone:407-743-7471
Practice Address - Fax:407-278-0498
Is Sole Proprietor?:No
Enumeration Date:2009-03-05
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME138204207VG0400X, 207V00000X
KY48652207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY48652OtherLICENSE
FL002537800Medicaid