MEDICARE: DR. JEFFREY R ABRAMS 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	207R00000X	Internal Medicine Physician	0101052373	VA
2	208M00000X	Hospitalist Physician	0101052373	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5188890001	OTHER	VA	CIGNA
2	41950004	OTHER	VA	CAREFIRST
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	6043429	OTHER	VA	VIRGINIA PREMIER
5	144883	OTHER	VA	SOUTHERN HEALTH
6	20363	OTHER	VA	UNICARE
7	200586	OTHER	VA	ANTHEM WARRENTON
8	436912	OTHER	VA	ANTHEM CULPEPER
9	503298	OTHER	VA	NCPPO
10	0005307073	OTHER	VA	AETNA
11	1620346	OTHER	VA	FIRST HEALTH
12	299001	OTHER	VA	MAMSI
13	44339	OTHER	VA	SENTARA

General Provider Information

NPI Number	:	1598768400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY R ABRAMS M.D.

Provider Business Mailing Address
First Line	:	25134 FORTITUDE TER
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20152-6052
Country	:	US
Telephone Number	:	540-229-5549
Fax Number	:	540-347-4506

Provider Business Practice Location Address
First Line	:	493 BLACKWELL RD STE 101A
Second Line	:
City	:	WARRENTON
State	:	VA
Zip	:	20186-2628
Country	:	US
Telephone Number	:	540-316-4325
Fax Number	:	540-316-4331

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	03/18/2022

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