Provider Demographics
NPI:1467531541
Name:ABRAHAM, AMMINI P (MD)
Entity Type:Individual
Prefix:DR
First Name:AMMINI
Middle Name:P
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:219 S WESTGATE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049
Mailing Address - Country:US
Mailing Address - Phone:310-472-9705
Mailing Address - Fax:310-472-9705
Practice Address - Street 1:14445 OLIVE VIEW DR
Practice Address - Street 2:OLIVE VIEW UCLA MED CENTER
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342
Practice Address - Country:US
Practice Address - Phone:818-364-4350
Practice Address - Fax:818-364-4775
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA36950207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology