MEDICARE: JOLINE H ABRAHAMS 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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A60599	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	A60599	OTHER	CA	CA MEDICAL LICENSE

General Provider Information

NPI Number	:	1679567366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOLINE H ABRAHAMS M.D.

Provider Business Mailing Address
First Line	:	1150 N INDIAN CANYON DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4872
Country	:	US
Telephone Number	:	760-323-6198
Fax Number	:	760-323-6195

Provider Business Practice Location Address
First Line	:	1150 N INDIAN CANYON DR
Second Line	:	DEPT OF PATHOLOGY
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4872
Country	:	US
Telephone Number	:	760-323-6198
Fax Number	:	760-323-6195

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	07/19/2019

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