Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICKEY ELLIS ABRAHAM, MD, MS
ActiveDR. MICKEY ELLIS ABRAHAM, MD, MS is a Student (Health Education/Training) healthcare provider located in LA JOLLA, California. NPI 1609403732 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · LA JOLLA, CA
Registration Details
- NPI Number
- 1609403732
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2020 (6.3474385620612 yrs)
- Last Updated
- Aug 13, 2021
Practice Information
- Address
-
9500 GILMAN DRLA JOLLA, CA, 920935004Browse CA providers · Browse ZIP 92093
- Phone
- 6195435540
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in LA JOLLA, CA
| Name | Credential | NPI |
|---|---|---|
| JEANNE ELENA MAGLIONE | M.D. | 1215077003 |
| DR. ALANA IGLEWICZ | M.D. | 1225163637 |
| SADAKATSU IKEDA | MD | 1699925255 |
| JONATHAN TUNG | MD | 1649505744 |
| KRISHNAN RANGARAJAN | M.D. | 1750691523 |
| SHABNAM KHASHABI TAYLOR | M.D. | 1487944062 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.