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NPI Code Detail

MEDICARE: MARIA R ABRAHAM M.D.

MEDICARE: MARIA R 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
1207RC0000XCardiovascular Disease PhysicianC148336CA
2207RC0000XCardiovascular Disease PhysicianD60471MD

Other Identifiers

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

General Provider Information

NPI Number : 1669436960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA R ABRAHAM M.D.
Provider Business Mailing Address
First Line : 555 MISSION BAY BLVD S # 452K
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94143-2156
Country : US
Telephone Number : 415-502-2873
Fax Number : 415-353-2528
Provider Business Practice Location Address
First Line : 555 MISSION BAY BLVD S # 452K
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94143-2156
Country : US
Telephone Number : 415-502-2873
Fax Number : 415-353-2528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 10/14/2021

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