Individual
DR. ANIBAL CRAVCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
604 S FREDERICK AVE, SUITE 211, GAITHERSBURG, MD 20877-1275
(301) 458-0131
Mailing address
103 GRANGE HALL DR, GAITHERSBURG, MD 20877-4310
(301) 458-0131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0069185
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3330231 00
—
MD
Enumeration date
01/13/2010
Last updated
02/22/2012
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