Individual
DR. MATTHEW J KRASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
34077
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122666
—
MS
05
—
0030899
—
NJ
05
—
009931440
—
AL
05
—
0535161
—
IA
05
—
100507255
—
NV
05
—
100641230A
—
KS
05
—
140246001
—
AR
05
—
1430188
—
LA
05
—
200284430A
—
IN
05
—
205028202
—
MO
05
—
3854868
—
TN
05
—
422400000
—
ME
05
—
454775794-1
—
IL
05
—
629975
—
AZ
05
—
64014202
—
KY
05
—
648674090A
—
GA
05
—
7611874
—
NC
Enumeration date
05/23/2005
Last updated
09/28/2012
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