Individual
DR. JEFFERY MARC KRAKOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5505 SUR MER DRIVE, EL DORADO HILLS, CA 95762-7654
(650) 248-1159
(916) 932-4289
Mailing address
5505 SUR MER DRIVE, EL DORADO HILLS, CA 95762-7654
(650) 248-1159
(916) 932-4289
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
G30387
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G303870
BLUE CROSS
—
Enumeration date
08/24/2005
Last updated
06/06/2024
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