Provider Demographics
NPI:1740585710
Name:SOBEL, ABRAHAM ISAAC (MD)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:ISAAC
Last Name:SOBEL
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 1:412 HIGH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-3419
Mailing Address - Country:US
Mailing Address - Phone:423-245-1233
Mailing Address - Fax:423-245-1233
Practice Address - Street 1:412 HIGH RIDGE RD
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-3419
Practice Address - Country:US
Practice Address - Phone:423-245-1233
Practice Address - Fax:423-245-1233
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNM.D.5725207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology