Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boban Abraham, MD

Individual provider Pediatrics Physician · NPI 1992929145

Boban Abraham, MD is an Internal Medicine in Philadelphia, Pennsylvania. Qualified in 2002, 24 years ago. Practices with Stc Pediatrics LLC, a 70-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
24
Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

160 E Erie Ave
Philadelphia, PA 19134
Phone: (215) 427-5000
Fax: (770) 488-9408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence MD454739 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence MD454739 (PA)

Record details

NPI number1992929145
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESMarch 20, 2023
Certification dateMarch 20, 2023
Mailing addressPo Box 13579, Reading, PA 19612-3579

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Stc Pediatrics Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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