Provider Demographics
NPI:1114991676
Name:SUHR, ABRAHAM W (MD)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:W
Last Name:SUHR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1228
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-1228
Mailing Address - Country:US
Mailing Address - Phone:805-226-4631
Mailing Address - Fax:
Practice Address - Street 1:689 TANK FARM RD
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-7077
Practice Address - Country:US
Practice Address - Phone:805-781-3937
Practice Address - Fax:805-781-9013
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93492207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology