Provider Demographics
NPI:1366402356
Name:ABRAMS, STEVEN ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ANTHONY
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680 S TRENTON CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5685
Mailing Address - Country:US
Mailing Address - Phone:303-910-8400
Mailing Address - Fax:
Practice Address - Street 1:1680 S TRENTON CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5685
Practice Address - Country:US
Practice Address - Phone:303-910-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43015040072085R0202X
CO298902085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
841522556OtherWORKERS COMP
2233070OtherAETNA HMO
300107213OtherRR MED B
841522556003OtherRMHMO
4464363OtherAETNA PPO
84152255601OtherPACIFICARE
RA362108OtherBCBS
CO012989000Medicaid
841522556003OtherRMHMO
362148Medicare ID - Type Unspecified