Pamela Varghese Abraham, M.D.
Individual provider Active NPI Family Medicine Physician · Reno, NV
NPI 1821138231 · NPPES record last updated Sep 18, 2014
Key facts
- NPI
- 1821138231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 12339 (NV)
- Practice address
- 8040 S Virginia St Ste 4
Reno, NV 89511-8939 - Phone
- (775) 770-7480
- Fax
- (775) 770-7499
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- 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 |
|---|---|---|---|
| E-5038 | AR | MD | Family Medicine Physician |
| 12339 | NV | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-5038 | AR | |
| Family Medicine Physician | 207Q00000X | 12339 | NV | Yes |
Addresses
Primary practice location
8040 S Virginia St Ste 4
Reno, NV 89511-8939
Mailing address
411 W 6TH St
Reno, NV 89503-4415
Phone (775) 770-7348
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All providers in Reno, NV · Family Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2014. 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.