Provider Demographics
NPI:1982843157
Name:ABRAMS, CHANA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CHANA
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 SMITH AVE
Mailing Address - Street 2:STE 207
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1453
Mailing Address - Country:US
Mailing Address - Phone:410-358-4943
Mailing Address - Fax:410-358-1016
Practice Address - Street 1:2835 SMITH AVE
Practice Address - Street 2:STE 207
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-1453
Practice Address - Country:US
Practice Address - Phone:410-358-4943
Practice Address - Fax:410-358-1016
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0003731363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical