Healthcare Provider Details

I. General information

NPI: 1164520557
Provider Name (Legal Business Name): STEVEN HYMAN KRASNOW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VA MEDICAL CTR 50 IRVING STREET NW- ONCOLOGY
WASHINGTON DC
20422-0001
US

IV. Provider business mailing address

VA MEDICAL CTR 50 IRVING STREET NW- ONCOLOGY
WASHINGTON DC
20422-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-8179
  • Fax: 202-745-8131
Mailing address:
  • Phone: 202-745-8179
  • Fax: 202-745-8131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberD25784
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: