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NPI Code Detail

MEDICARE: ABRAHAM KORN D.O.

MEDICARE: ABRAHAM KORN D.O.
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
1207P00000XEmergency Medicine Physician34.013498OH

General Provider Information

NPI Number : 1548666779
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABRAHAM KORN D.O.
Provider Business Mailing Address
First Line : 2554 LAFAYETTE DR
Second Line :
City : UNIVERSITY HEIGHTS
State : OH
Zip : 44118-4608
Country : US
Telephone Number : 718-404-4290
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195
Country : US
Telephone Number : 216-445-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2014
Last Update Date : 07/11/2018

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