Matthew Mack Abraham, LLC
Internal Medicine, Sleep Medicine in Lafayette, LA. Organization (NPI-2).
NPI number1548314495
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1548314495
- Entity type
- Organization (NPI-2)
- Legal business name
- Matthew Mack Abraham, LLC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RS0012X | Internal Medicine, Sleep Medicine | MD024082 | LA | Yes |
Practice location
100 Asma BlvdBldg One, Ste 205
Lafayette, LA 70508-3858
Phone 337-289-5605 · Fax 337-289-5609
Mailing address
100 Asma BlvdBldg One, Ste 205
Lafayette, LA 70508-3858
Phone 337-289-5605 · Fax 337-289-5609
Authorized official
Matthew Mack Abraham
Owner
3372895605
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