Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A145954 | CA |
N | 111NI0900X | Internist | A145954 | CA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A145954 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A145954 | CA |
NPI | 1649439670 |
---|---|
Provider Name | Dr. Dmitry Abramov |
First Address | Loma Linda, CA 92354-2804 |
Second Address | Loma Linda, CA 92354-2804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2008 |
Last Update Date | 11/07/2017 |