Individual
MARK M KRAKAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4230 HARDING RD, SUITE 400, NASHVILLE, TN 37205-2013
(615) 297-2700
(615) 269-4584
Mailing address
104 WOODMONT BLVD, SUITE LL50, NASHVILLE, TN 37205-2245
(615) 386-2300
(615) 386-2399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42728
TN
208000000X
Pediatrics Physician
42728
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01228364
AMERIGROUP TNCARE ONLY
TN
01
—
1100835730
USA PPO/GEHA
TN
01
—
1103297
USA MCO
TN
01
—
12702776
PHCS/MULTIPLAN
TN
05
—
1507300
—
TN
01
—
1920691
COVENTRY
TN
01
—
2904149
UNITED HEALTH CARE
TN
01
—
4191997
BLUE CROSS
TN
01
—
5537973
CIGNA
TN
05
—
7100077090
—
KY
01
—
9726151
AETNA
TN
01
—
P00634255
MEDICARE RR
TN
Enumeration date
01/04/2007
Last updated
05/12/2015
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