NPI 1891198149 · live from the CMS NPI Registry
Desalegn Abraham
Physician Assistant, Medical in Lanham, MD. National Provider Identifier 1891198149, active.
NPI record
| NPI | 1891198149 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 8118 Good Luck Rd, Lanham, MD 20706 |
| Practice phone | 301-552-8130 |
| Mailing address | Po Box 418056, Doctors Community Medical Group LLC, Boston, MA 02241 |
| Enumerated | October 1, 2014 |
| Last updated | November 9, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | C0005436 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.