Provider Demographics
NPI:1689685661
Name:ABIRI, ALISON L (MD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:L
Last Name:ABIRI
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 1:11763 RANDOLPH CT
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-4187
Mailing Address - Country:US
Mailing Address - Phone:909-446-7238
Mailing Address - Fax:412-578-1144
Practice Address - Street 1:4800 FRIENDSHIP AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1722
Practice Address - Country:US
Practice Address - Phone:412-578-5442
Practice Address - Fax:412-578-1144
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA 99239207P00000X
PAMD427242207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD427242OtherMEDICAL LICENSE
CAA99239OtherMEDICAL LICENSE
CAA99239OtherMEDICAL LICENSE