Individual ProviderCheruba AbrahamFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1343 Newlands Dr W, Fernley, NV 89408(775) 982-5000(775) 982-5262PECOS EnrollmentBased on the most recent information from CMS, provider Cheruba Abraham is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:30 AM.Profile DetailsProvider ID1568734630Provider TypeIndividualFull NameAbraham, CherubaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date2/3/2012Last Updated10/11/2018Contact InformationPractice LocationPractice Address1343 Newlands Dr W, Fernley, NV 89408Phone(775) 982-5000Fax(775) 982-6504Mailing LocationMailing Address850 Harvard Way # T5, Reno, NV 89502-2055Phone(775) 982-5262Fax(775) 982-5496Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense15500NevadaProvider IdentifiersIDDescriptionIssuerID12751679DescriptionOtherIssuerCAQH