Individual provider · Type 1 NPI

Desalegn Abraham

Medical Physician Assistant · Lanham, MD

NPI number 1891198149 Active

Practice location

8118 Good Luck Rd
Lanham, MD 20706-3574

Mailing address

PO Box 418056, Doctors Community Medical Group Llc
Boston, MA 02241-8056

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0005436 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1891198149

Desalegn Abraham's National Provider Identifier is 1891198149, issued on Oct 1, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lanham, MD. The record was last updated on Nov 9, 2015.