Healthcare Provider Details
I. General information
NPI: 1467870717
Provider Name (Legal Business Name): CHRISTINE CRANA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/03/2014
Last Update Date: 08/10/2020
Certification Date: 08/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4401 PENN AVE AOB SUITE 5400
PITTSBURGH PA
15224-1334
US
IV. Provider business mailing address
4401 PENN AVE AOB SUITE 5400
PITTSBURGH PA
15224-1334
US
V. Phone/Fax
- Phone: 412-692-5285
- Fax:
- Phone: 412-692-5285
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0210X |
| Taxonomy | Pediatric Nephrology Physician |
| License Number | 65840 |
| License Number State | CT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: