Dr. Abraham James Rickett, MD
Student in an Organized Health Care Education/Training Program in Oakland, CA. Individual provider (NPI-1).
NPI number1104575992
StatusActive
Last updated in NPPESMar 21, 2022
Details
- NPI
- 1104575992
- Entity type
- Individual (NPI-1)
- Name
- Dr. Abraham James Rickett
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2022
- Certification date
- Mar 21, 2022
- Last updated
- Mar 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
275 W Macarthur BlvdOakland, CA 94611-5641
Phone 510-752-1000
Mailing address
275 W Macarthur BlvdOakland, CA 94611-5641
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