Individual
DR. JAN KRISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
708 S SOUTH ST STE 400, MOUNT AIRY, NC 27030-4589
(336) 415-5126
(336) 415-5169
Mailing address
708 S SOUTH ST STE 400, MOUNT AIRY, NC 27030-4589
(336) 415-5126
(336) 415-5169
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9701018
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
9701018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001011966003
ONE HEALTH/GREAT WEST
NC
01
—
1055X
BCBS OF NC
NC
01
—
110153703
RAILROAD MEDICARE
NC
01
—
111395
CIGNA
NC
01
—
142031
SOUTHCARE PPO
NC
01
—
1789230
UNITED HEALTHCARE
NC
01
—
20412
PARTNERS MEDICARE
NC
01
—
253533
TRIGON BCBS OF VA
NC
01
—
277869
MAMSI
NC
01
—
5892546
AETNA
NC
01
—
75844
MEDCOST
NC
05
—
890155X
—
NC
Enumeration date
07/01/2005
Last updated
01/24/2025
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