Individual
CRAIG S KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 MEDICAL PKWY STE 100, CHESAPEAKE, VA 23320-4985
(757) 547-7702
(757) 548-2725
Mailing address
300 MEDICAL PKWY STE 100, CHESAPEAKE, VA 23320-4985
(757) 547-7702
(757) 548-2725
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0116016274
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010288835
—
VA
01
—
1326022880
GROUP NPI#
—
01
—
1609844398
INDIVIDUAL NPI#
—
01
—
C01592
MEDICARE GROUP #
VA
01
—
CF1969
RAILROAD MEDICARE GROUP #
—
Enumeration date
03/09/2006
Last updated
08/02/2016
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