Provider Demographics
NPI:1851304364
Name:ABRAHAM, FRANK MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:MATTHEW
Last Name:ABRAHAM
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 1:150 MEMORIAL DRIVE
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:KINGWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26537
Mailing Address - Country:US
Mailing Address - Phone:304-329-1400
Mailing Address - Fax:304-329-4717
Practice Address - Street 1:150 MEMORIAL DRIVE
Practice Address - Street 2:EMERGECNY DEPARTMENT
Practice Address - City:KINGWOOD
Practice Address - State:WV
Practice Address - Zip Code:26537-1141
Practice Address - Country:US
Practice Address - Phone:304-329-1400
Practice Address - Fax:304-329-4717
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD072727L207P00000X
WV17641207R00000X, 207P00000X
OH35.089712207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0045734000Medicaid
F96535Medicare UPIN
WV4217542Medicare PIN
WV0045734000Medicaid