Individual
MARK M KRAKAUER
Active
Individual
MARK M KRAKAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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