Provider Demographics
NPI:1538395017
Name:ABRASS, ANDREW GARRETT (MD MPH)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GARRETT
Last Name:ABRASS
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 SANTA CLARA AVE
Mailing Address - Street 2:#106
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-2687
Mailing Address - Country:US
Mailing Address - Phone:513-262-9227
Mailing Address - Fax:
Practice Address - Street 1:2540 EAST ST
Practice Address - Street 2:DEPT OF EMERGENCY MEDICINE
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-1906
Practice Address - Country:US
Practice Address - Phone:925-674-2140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA127494207P00000X
NY260866282N00000X
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program