Richard I Abraham, M.D.
Individual provider Active NPI Internal Medicine Physician · Canton, CT
NPI 1023044252 · NPPES record last updated Jul 11, 2022
Key facts
- NPI
- 1023044252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 017769 (CT)
- Practice address
- 141 Dowd Ave
Canton, CT 06019-2401 - Phone
- (860) 693-6951
- Fax
- (860) 693-8459
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017769 | CT | MD | Internal Medicine Physician |
Interoperability endpoints
- rabraham10615@direct.med.uchc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 017769 | CT | Yes |
Addresses
Primary practice location
141 Dowd Ave
Canton, CT 06019-2401
Mailing address
141 Dowd Ave
Canton, CT 06019-2401
Phone (860) 693-6951
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023044252 | Medicaid | CT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rabraham10615@direct.med.uchc.edu |
Other providers in Canton, CT
- A New Path Counseling, LLC
- Judith Frayda Abraham
- Nicholas D Albert
- Glen Angers
- Jenna Mimi Atlas
- Hunter Bahre
- Cheryl Ben-David
All providers in Canton, CT · Internal Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.