MEDICARE: DR. SAMIR ABRAKSIA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	35061538	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	900002534	OTHER	OH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1347023	OTHER	OH	FIRST HLT
2	1974049001	OTHER	OH	CIGNA INS
4	3000153	OTHER	OH	UNITED HLTHCARE/SO POINT
5	4649556	OTHER	OH	AETNA NON HMO
6	2106881	OTHER	OH	AETNA HMO
7	328195	OTHER	OH	PRIME HLTH CORP
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	3000216	OTHER	OH	UNITED HLTHCARE/HURON

General Provider Information

NPI Number	:	1275638199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMIR ABRAKSIA M.D.

Provider Business Mailing Address
First Line	:	2732 SINTON PL
Second Line	:
City	:	PEPPER PIKE
State	:	OH
Zip	:	44124-4630
Country	:	US
Telephone Number	:	216-595-0549
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 WARRENSVILLE CENTER RD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-7051
Country	:	US
Telephone Number	:	216-491-6438
Fax Number	:	330-562-9417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	11/13/2009

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Directions to “ DR. SAMIR ABRAKSIA M.D.” Practice Location

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