Doctor Name: | DR. ABRAM PAGTAKHAN TIRONA |
NPI Number: | 1992931067 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 132609 |
Business Practice Address: | 100 N Academy Ave Danville, PA - 178229800 |
Business Phone Number: | 6198618520 |
Business Fax Number: | |
Mailing Address: | Po Box 211858, CHULA VISTA |
State: | CA |
Postal Code: | 919211858 |
Phone Number: | 6198618520 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2009 |
NPI Last Update Date: | 06/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 132609 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |