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

Dr. Jaeon Abraham, MD is a Pediatrics based in Plano, TX. Dr. Jaeon Abraham, MD holds the professional credentials of MD. The NPI number for Dr. Jaeon Abraham, MD is 1043638885 and holds license No. R1680 (TX). The current practice location address is 3105 W 15TH St Ste D, Plano, TX 75075-7700 and the office can be reached by phone at 972-867-2869. The NPI was assigned on March 29, 2014 and the record was last updated in NPPES on March 17, 2018.

●Provider Profile Details

NPI Number
1043638885
Provider Name
Jaeon Abraham
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Enumeration Date
March 29, 2014
Last Update Date
March 17, 2018
NPI Status
Active

◉Business Practice Location Address

Address
3105 W 15TH St Ste D
Plano, TX 75075-7700
City
Plano
State
Texas
ZIP
75075-7700
Country
US
Phone Number
972-867-2869

Get directions →

✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Pediatrics208000000XYesR1680TX

#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. 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) and holds license No. R1680 (TX).

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 at npiregistry.cms.hhs.gov.

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