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NPI Code Detail

MEDICARE: RICHARD IRA ABRAHAMSON MD

MEDICARE: RICHARD IRA ABRAHAMSON MD
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
1207W00000XOphthalmology Physician35 06 2541 AOH
2207W00000XOphthalmology Physician30910KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598747792
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD IRA ABRAHAMSON MD
Provider Business Mailing Address
First Line : PO BOX 635283
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-5283
Country : US
Telephone Number : 513-621-2445
Fax Number : 513-621-2513
Provider Business Practice Location Address
First Line : 1400 GRAND AVE
Second Line :
City : NEWPORT
State : KY
Zip : 41071-2570
Country : US
Telephone Number : 859-781-3110
Fax Number : 859-441-1418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 12/10/2021

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