Provider Demographics
NPI:1275722019
Name:DAVID E ABRAMS MD INC
Entity Type:Organization
Organization Name:DAVID E ABRAMS MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ERNEST
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-385-1018
Mailing Address - Street 1:18370 BURBANK BLVD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2854
Mailing Address - Country:US
Mailing Address - Phone:818-385-1018
Mailing Address - Fax:818-385-0896
Practice Address - Street 1:18370 BURBANK BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2854
Practice Address - Country:US
Practice Address - Phone:818-385-1018
Practice Address - Fax:818-385-0896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG17392207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40071Medicare UPIN
CAG17392AMedicare PIN