| Donald R. Abrahm M.d., Inc | |
|
1525 Superior Ave Suite 104 Newport Beach CA 92663-3639 | |
| (949) 631-2670 | |
| (949) 631-7137 |
| Full Name | Donald R. Abrahm M.d., Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1525 Superior Ave, Newport Beach, California |
| Authorized Official Name and Position | Donald Robert Abrahm (PHYSICIAN) |
| Authorized Official Contact | 9496312670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald R. Abrahm M.d., Inc 1525 Superior Ave Suite 104 Newport Beach CA 92663-3639 Ph: (949) 631-2670 | Donald R. Abrahm M.d., Inc 1525 Superior Ave Suite 104 Newport Beach CA 92663-3639 Ph: (949) 631-2670 |
| NPI Number | 1366617839 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 04/25/2008 |
| Medicare PECOS PAC ID | 8022186212 |
|---|---|
| Medicare Enrollment ID | O20081001000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366617839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G51196 (California) | Primary |
| Provider Name | Donald R Abrahm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215022405 PECOS PAC ID: 6204904493 Enrollment ID: I20081001000013 |
| Provider Name | Rooba Wardeh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831388206 PECOS PAC ID: 3678619764 Enrollment ID: I20091002000361 |
| Provider Name | Heshmat Ghassemi Cook |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639275324 PECOS PAC ID: 6608909627 Enrollment ID: I20100728000357 |
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