Individual provider · NPI-1

Imani Abrahamsen, MD

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number1700535416

StatusActive

Last updated in NPPESMar 21, 2022

Details

NPI: 1700535416
Entity type: Individual (NPI-1)
Name: Imani Abrahamsen
Credential: MD
Sex: Female
Sole proprietor: Yes
Enumeration date: Mar 21, 2022
Certification date: Feb 24, 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
171000000X	Military Health Care Provider	–	–

Practice location

Naval Medical Center San Diego 34800 Bob Wilson Drive
San Diego, CA 92134-0001

Phone 619-532-7599

Mailing address

Naval Medical Center San Diego 34800 Bob Wilson Drive
San Diego, CA 92134-0001

Phone 619-532-7599

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