Provider Demographics
NPI:1447059514
Name:CAMARA, ABRAHAM SORY
Entity type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:SORY
Last Name:CAMARA
Suffix:
Gender:
Credentials:
Other - Prefix:MR
Other - First Name:SORY
Other - Middle Name:ABRAHAM
Other - Last Name:CAMARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:189 BEXHILL DR
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-9062
Mailing Address - Country:US
Mailing Address - Phone:614-209-0675
Mailing Address - Fax:
Practice Address - Street 1:189 BEXHILL DR
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-9062
Practice Address - Country:US
Practice Address - Phone:614-209-0675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health