Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 28438 | AL |
Y | 207RI0011X | Interventional Cardiology | 28438 | AL |
NPI | 1114986205 |
---|---|
Provider Name | Dr. Joshua Michael Krasnow |
First Address | Huntsville, AL 35801-4312 |
Second Address | Huntsville, AL 35801-4312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 10/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
193115 | (05) | AL |
511-79872 | BCBS (01) | AL |
7981207 | AETNA (01) | |
H36326 | (02) | |
P00253850 | RR MEDICARE (01) | |
P00465448 | RR MEDICARE (01) | AL |