Provider Demographics
NPI:1831305465
Name:ABRAMOVA, LIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:LIANA
Middle Name:
Last Name:ABRAMOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3930 PENDER DR STE 210
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-0992
Mailing Address - Country:US
Mailing Address - Phone:703-828-7128
Mailing Address - Fax:703-825-7718
Practice Address - Street 1:3930 PENDER DR STE 210
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-0992
Practice Address - Country:US
Practice Address - Phone:703-828-7128
Practice Address - Fax:703-825-7718
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101245322207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology