Active NPIIndividual providerSole proprietor

Dr. Jesty R Abraham, DO

Radiology, Diagnostic Radiology in Philadelphia, Pennsylvania

NPI Number1417118373
Practice location
333 Cottman Ave, Philadelphia, PA 19111-2434
Fax
215-728-1185
Last updated
April 9, 2018

Dr. Jesty R Abraham, DO is a Radiology, Diagnostic Radiology based in Philadelphia, PA. Dr. Jesty R Abraham, DO holds the professional credentials of DO. The NPI number for Dr. Jesty R Abraham, DO is 1417118373 and holds license No. OS016568 (PA). The current practice location address is 333 Cottman Ave, Philadelphia, PA 19111-2434 and the office can be reached by phone at 215-728-3883 and by fax at 215-728-1185. The NPI was assigned on June 23, 2008 and the record was last updated in NPPES on April 9, 2018.

●Provider Profile Details

NPI Number
1417118373
Provider Name
Jesty R Abraham
Credential
DO
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
Yes
Enumeration Date
June 23, 2008
Last Update Date
April 9, 2018
NPI Status
Active

◉Business Practice Location Address

Address
333 Cottman Ave
Philadelphia, PA 19111-2434
ZIP
19111-2434
Country
US
Phone Number
215-728-3883
Fax Number
215-728-1185

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✉Business Mailing Address

Address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
City
Philadelphia
State
PA
ZIP
19129-1302
Phone Number
215-728-3883
Fax Number
215-728-1185

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Radiology, Diagnostic Radiology2085R0202XYesOS016568PA
Student in an Organized Health Care Education/Training Program390200000XNo——

#Other Provider Identifiers

No legacy or other 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. Jesty R Abraham, DO?

The NPI number of Dr. Jesty R Abraham, DO is 1417118373. It was assigned on June 23, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jesty R Abraham, DO?

Dr. Jesty R Abraham, DO is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X) and holds license No. OS016568 (PA).

Where does Dr. Jesty R Abraham, DO practice?

The practice location is 333 Cottman Ave, Philadelphia, PA 19111-2434. The office can be reached at 215-728-3883 (phone) or 215-728-1185 (fax).

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 1417118373 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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