Provider Demographics
NPI:1851335822
Name:ABRAMOVICH, DREW K (MD)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:K
Last Name:ABRAMOVICH
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 1:721 E MILLTOWN RD # WR10
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-1331
Mailing Address - Country:US
Mailing Address - Phone:302-874-5003
Mailing Address - Fax:330-287-4603
Practice Address - Street 1:721 E MILLTOWN RD # WR10
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-1331
Practice Address - Country:US
Practice Address - Phone:302-874-5003
Practice Address - Fax:330-287-4603
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35070488A174400000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2120663Medicaid
OH7232576OtherAETNA
OH000000134679OtherANTHEM
OH1973212OtherUHC
OH341587155DAOtherACHS
OH830007068OtherRAILROAD MEDICARE
OH7232576OtherAETNA
OH830007068OtherRAILROAD MEDICARE