Provider Demographics
NPI:1679567366
Name:ABRAHAMS, JOLINE H (MD)
Entity Type:Individual
Prefix:
First Name:JOLINE
Middle Name:H
Last Name:ABRAHAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1150 N INDIAN CANYON DR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4872
Mailing Address - Country:US
Mailing Address - Phone:760-323-6198
Mailing Address - Fax:760-323-6195
Practice Address - Street 1:1150 N INDIAN CANYON DR
Practice Address - Street 2:DEPT OF PATHOLOGY
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4872
Practice Address - Country:US
Practice Address - Phone:760-323-6198
Practice Address - Fax:760-323-6195
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA60599207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1679567366Medicaid
CAA60599OtherCA MEDICAL LICENSE
CA00A605990Medicare PIN