Provider Demographics
NPI:1396035580
Name:ABRAHAM, TARA SOSA (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:SOSA
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5215 LOUGHBORO ROAD, NW
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WAHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2628
Mailing Address - Country:US
Mailing Address - Phone:202-243-3500
Mailing Address - Fax:202-966-8441
Practice Address - Street 1:5215 LOUGHBORO ROAD, NW
Practice Address - Street 2:SUITE 500
Practice Address - City:WAHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2628
Practice Address - Country:US
Practice Address - Phone:202-243-3500
Practice Address - Fax:202-966-8441
Is Sole Proprietor?:No
Enumeration Date:2011-04-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD043423207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology