Individual provider · NPI-1

Dr. Zachary R Abramson, DMD, MD

Radiology, Pediatric Radiology · Memphis, TN

NPI number1396066577

StatusActive

Last updated in NPPESJun 11, 2020

Details

NPI: 1396066577
Entity type: Individual (NPI-1)
Name: Dr. Zachary R Abramson
Credential: DMD, MD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 22, 2010
Certification date: Jun 11, 2020
Last updated: Jun 11, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085P0229X	Radiology, Pediatric Radiology	60891	TN	Yes
204E00000X	Oral & Maxillofacial Surgery	DL-10921	MA
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

262 Danny Thomas Pl
Dept Of Diagnostic Imaging
Memphis, TN 38105

Phone 248-227-2940

Mailing address

19 Grove Run Pl
Memphis, TN 38111-6834

Phone 248-227-2940

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