Individual
JERROLD KRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13939 E 14TH ST STE 180, SAN LEANDRO, CA 94578-2601
(510) 263-3300
Mailing address
13939 E 14TH ST STE 180, SAN LEANDRO, CA 94578-2601
(510) 263-3300
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00G213160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G213160
—
CA
Enumeration date
10/05/2006
Last updated
03/25/2021
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