Doctor Name: | FENOTE ABRAHAM |
NPI Number: | 1073660916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | D0056248 |
Business Practice Address: | 8901 Wisconsin Ave Bethesda, MD - 208890001 |
Business Phone Number: | 3012952360 |
Business Fax Number: | |
Mailing Address: | 3202 Red Orchard Way, KENSINGTON |
State: | MD |
Postal Code: | 208952763 |
Phone Number: | 3019628833 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | D0056248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |