Healthcare Provider Details

I. General information

NPI: 1386134591
Provider Name (Legal Business Name): ALLISON KRATKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DANIEL BURNHAM CT
SAN FRANCISCO CA
94109-5455
US

IV. Provider business mailing address

535 MISSION BAY BLVD S
SAN FRANCISCO CA
94143-2156
US

V. Phone/Fax

Practice location:
  • Phone: 415-502-5099
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA173540
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: