Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 134580 | NC |
N | 111NI0900X | Internist | 134580 | NC |
N | 207R00000X | Internist | 43348 | AZ |
N | 111NI0900X | Internist | 43348 | AZ |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A116087 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | A116087 | CA |
NPI | 1194917534 |
---|---|
Provider Name | Evan Paul Kransdorf |
First Address | Beverly Hills, CA 90211-3153 |
Second Address | Beverly Hills, CA 90211-3153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2007 |
Last Update Date | 05/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
538117 | (05) | AZ |