Individual
THEODORE P. ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE FL 3, SAN FRANCISCO, CA 94143
(410) 502-7974
Mailing address
505 PARNASSUS AVE # M314, SAN FRANCISCO, CA 94143-2204
(415) 353-9156
(415) 353-8687
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C147652
CA
207RC0000X
Cardiovascular Disease Physician
D60411
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060054175
RAILROAD
MN
05
—
338027100
—
MN
05
—
403643300
—
MD
Enumeration date
02/17/2006
Last updated
10/05/2021
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