| Doctor Name: | DR. SUNIL J ABRAHAM |
| NPI Number: | 1013161306 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 13010 Hesperia Road Ste. 300 Victorville, CA - 923958315 |
| Business Phone Number: | 7608437873 |
| Business Fax Number: | 7608437831 |
| Mailing Address: | 18564 Highway 18, Suite 105 APPLE VALLEY |
| State: | CA |
| Postal Code: | 923072312 |
| Phone Number: | 7602427777 |
| Fax Number: | 7602422658 |
| NPI Enumeration Date: | 11/12/2008 |
| NPI Last Update Date: | 03/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |