Individual
KEITH R MCCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6295
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35-075796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224347
UNISON
OH
01
—
000000539590
ANTHEM
OH
01
—
2115364
AETNA
OH
05
—
2189733
—
OH
01
—
363822
WELLCARE
OH
01
—
737707
BUCKEYE
OH
01
—
830007207
RAILROAD MEDICARE
OH
Enumeration date
07/15/2006
Last updated
01/29/2008
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