MEDICARE: DR. JOSEPH ABRAHAM AHRAM 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	207V00000X	Obstetrics & Gynecology Physician	212696	NY

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

General Provider Information

NPI Number	:	1548228943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH ABRAHAM AHRAM M.D.

Provider Business Mailing Address
First Line	:	212 E BROADWAY
Second Line	:	APT. G505
City	:	NEW YORK
State	:	NY
Zip	:	10002-5561
Country	:	US
Telephone Number	:	212-254-9621
Fax Number	:	718-963-6793

Provider Business Practice Location Address
First Line	:	406 STOCKHOLM ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-4008
Country	:	US
Telephone Number	:	718-417-5907
Fax Number	:	718-963-6793

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	10/02/2024

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