Healthcare Provider Details

I. General information

NPI: 1124251442
Provider Name (Legal Business Name): WILLIAM ANDREW ABRAHAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 09/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16901 LAKESIDE HILLS CT
OMAHA NE
68130-2318
US

IV. Provider business mailing address

16901 LAKESIDE HILLS CT
OMAHA NE
68130-2318
US

V. Phone/Fax

Practice location:
  • Phone: 402-717-8434
  • Fax: 402-717-7340
Mailing address:
  • Phone: 402-717-8434
  • Fax: 402-717-7340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number26790
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD-42613
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number6056
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: