MEDICARE: DR. JOSEPH NICHOLAS ABRAHAM 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	208D00000X	General Practice Physician	07253R	LA
2	207P00000X	Emergency Medicine Physician	07523R	LA

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	:	1629309000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH NICHOLAS ABRAHAM M.D.

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	337-294-0900
Fax Number	:

Provider Business Practice Location Address
First Line	:	2932 AMBASSADOR CAFFERY PKWY STE A
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-6756
Country	:	US
Telephone Number	:	337-294-0900
Fax Number	:

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

Provider Enumeration Date	:	01/25/2010
Last Update Date	:	05/13/2026

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