Individual
RACHEL C KRUSPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 SIVLEY RD SW, STE 200, HUNTSVILLE, AL 35801-5177
(256) 265-1822
Mailing address
201 SIVLEY RD SW, STE 200, HUNTSVILLE, AL 35801-5177
(256) 265-1835
(256) 265-1825
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
26577
AL
207RX0202X
Medical Oncology Physician
26577
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263695
—
AL
01
—
510I830006
MEDICARE PTAN
AL
01
—
A11812A
MEDICARE PTAN
AL
Enumeration date
07/15/2006
Last updated
10/27/2021
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