Healthcare Provider Details

I. General information

NPI: 1669666020
Provider Name (Legal Business Name): ABRAHAM BICHACHI, M D
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD SUITE 610
MIAMI BEACH FL
33140-2891
US

IV. Provider business mailing address

4302 ALTON RD STE 420
MIAMI BEACH FL
33140-2849
US

V. Phone/Fax

Practice location:
  • Phone: 305-531-5559
  • Fax: 305-531-7821
Mailing address:
  • Phone: 305-531-5559
  • Fax: 305-531-7821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ABRAHAM BICHACHI
Title or Position: MEDICAL DOCTOR
Credential: M D
Phone: 305-531-5559