Active NPIIndividual providerSole proprietor

Dr. Jaeon Abraham, MD

Pediatrics in Plano, Texas

NPI Number1043638885
Practice location
3105 W 15TH St Ste D, Plano, TX 75075-7700
Fax
—
Last updated
March 17, 2018

Jaeon Abraham is a Pediatrics based in Plano, TX. Jaeon Abraham practices in Plano, TX and has the professional credentials of MD. The NPI Number for Jaeon Abraham is 1043638885 and holds a License No. R1680 (TX). The current practice location address for Jaeon Abraham is 3105 W 15TH St Ste D, Plano, TX 75075-7700 and can be reached out via phone at 972-867-2869.

Provider Profile Details

NPI Number
1043638885
Provider Name
Jaeon Abraham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3105 W 15TH St Ste D, Plano, TX 75075-7700
Phone Number
972-867-2869
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2014
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
3105 W 15TH St Ste D
Plano, TX 75075-7700
City
Plano
State
Texas
Zip
75075-7700
Phone Number
972-867-2869
Plano, TX 75075Get directions →

Provider Business Mailing Address Details

Address
3105 W 15TH St Ste D
Plano, TX 75075-7700
City
Plano
State
TX
Zip
75075-7700
Phone Number
972-867-2869
Fax Number
972-964-5219

License Information

License Number
R1680
License State
TX
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jaeon Abraham, MD?

The NPI number of Dr. Jaeon Abraham, MD is 1043638885. It was assigned on March 29, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Jaeon Abraham, MD?

Dr. Jaeon Abraham, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in TX under license number R1680.

Where does Dr. Jaeon Abraham, MD practice?

The practice location is 3105 W 15TH St Ste D, Plano, TX 75075-7700. The office can be reached at 972-867-2869 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043638885 directly on the NPPES registry website.

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