Provider Demographics
NPI:1952519993
Name:ABRAMOFF, SANDRA DEWI (MD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:DEWI
Last Name:ABRAMOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:DEWI
Other - Last Name:ABRAMOFF MOEHADJIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2591 HOLIDAY RD
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-3039
Mailing Address - Country:US
Mailing Address - Phone:319-339-1231
Mailing Address - Fax:
Practice Address - Street 1:2591 HOLIDAY RD
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-3039
Practice Address - Country:US
Practice Address - Phone:319-339-1231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA384702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry