Healthcare Provider Details

I. General information

NPI: 1609096536
Provider Name (Legal Business Name): ELLIOT STEPHEN KRAMES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 VAN NESS AVE STE #402
SAN FRANCISCO CA
94109-3023
US

IV. Provider business mailing address

2000 VAN NESS AVE STE #402
SAN FRANCISCO CA
94109-3023
US

V. Phone/Fax

Practice location:
  • Phone: 415-567-1219
  • Fax: 415-567-2534
Mailing address:
  • Phone: 415-567-1219
  • Fax: 415-567-2534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberG23073
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: