Desalegn Abraham
Physician Assistant, Medical in Lanham, Maryland
1891198149- Practice location
- 8118 Good Luck RD, Lanham, MD 20706-3574
- Phone
- 301-552-8130
- Fax
- —
- Last updated
- November 9, 2015
Desalegn Abraham is a Physician Assistant, Medical based in Lanham, MD. The NPI number for Desalegn Abraham is 1891198149 and holds license No. C0005436 (MD). The current practice location address is 8118 Good Luck RD, Lanham, MD 20706-3574 and the office can be reached by phone at 301-552-8130. The NPI was assigned on October 1, 2014 and the record was last updated in NPPES on November 9, 2015.
●Provider Profile Details
- NPI Number
- 1891198149
- Provider Name
- Desalegn Abraham
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Enumeration Date
- October 1, 2014
- Last Update Date
- November 9, 2015
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 8118 Good Luck RD
Lanham, MD 20706-3574 - City
- Lanham
- State
- Maryland
- ZIP
- 20706-3574
- Country
- US
- Phone Number
- 301-552-8130
✉Business Mailing Address
- Address
- Po Box 418056
Doctors Community Medical Group LLC
Boston, MA 02241-8056 - City
- Boston
- State
- MA
- ZIP
- 02241-8056
- Phone Number
- 301-552-8135
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant, Medical | 363AM0700X | Yes | C0005436 | MD |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Lanham →?Frequently Asked Questions
What is the NPI number of Desalegn Abraham?
The NPI number of Desalegn Abraham is 1891198149. It was assigned on October 1, 2014 and is currently active in the NPPES registry.
What is the specialty of Desalegn Abraham?
Desalegn Abraham is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X) and holds license No. C0005436 (MD).
Where does Desalegn Abraham practice?
The practice location is 8118 Good Luck RD, Lanham, MD 20706-3574. The office can be reached at 301-552-8130 (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 1891198149 directly on the NPPES registry website at npiregistry.cms.hhs.gov.