Provider Demographics
NPI:1013199041
Name:ABRAHAM, ARIYA NESA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIYA
Middle Name:NESA
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7565 N CEDAR AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2687
Mailing Address - Country:US
Mailing Address - Phone:559-438-8888
Mailing Address - Fax:559-438-8887
Practice Address - Street 1:7565 N CEDAR AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2687
Practice Address - Country:US
Practice Address - Phone:559-438-8888
Practice Address - Fax:559-438-8887
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA50162207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine