MEDICARE: ASIA ABRAHAM

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1306640677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIA ABRAHAM

Provider Business Mailing Address
First Line	:	1447 N MORTON DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84116-4377
Country	:	US
Telephone Number	:	801-833-1943
Fax Number	:

Provider Business Practice Location Address
First Line	:	1447 N MORTON DR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84116-4377
Country	:	US
Telephone Number	:	801-833-1943
Fax Number	:

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

Provider Enumeration Date	:	04/03/2025
Last Update Date	:	07/07/2025

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Directions to “ ASIA ABRAHAM ” Practice Location

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