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NPI Code Detail

MEDICARE: DR. JAMES H KRAVETZ DO

MEDICARE: DR. JAMES H KRAVETZ DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianF1721TX

General Provider Information

NPI Number : 1861478901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES H KRAVETZ DO
Provider Business Mailing Address
First Line : 3478 BUSKIRK AVE STE 105
Second Line :
City : PLEASANT HILL
State : CA
Zip : 94523-4345
Country : US
Telephone Number : 510-393-1842
Fax Number :
Provider Business Practice Location Address
First Line : 2213 BUCHANAN RD STE 103
Second Line :
City : ANTIOCH
State : CA
Zip : 94509-4265
Country : US
Telephone Number : 925-303-4780
Fax Number : 925-779-1455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 04/26/2019

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