Healthcare Provider Details

I. General information

NPI: 1952313850
Provider Name (Legal Business Name): ADRIAN A CARACIONI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 03/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 SW 7TH ST 2ND FLOOR
TOPEKA KS
66606-2489
US

IV. Provider business mailing address

DEPT CH 14389
PALATINE IL
60055-4389
US

V. Phone/Fax

Practice location:
  • Phone: 785-295-7800
  • Fax: 785-231-5990
Mailing address:
  • Phone: 785-295-8108
  • Fax: 785-270-7646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number04-30678
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: