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Physician Compare National (NPI:1548585417)

HEALTHCARE PROVIDER: HAROLD KRAFT M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1548585417
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1658670856
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20160421002109
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KRAFT
Individual professional last name
Provider First Name HAROLD
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1981
Individual professional's medical school graduation year
Primary Specialty PAIN MANAGEMENT
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 ANESTHESIOLOGY
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties ANESTHESIOLOGY
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 2809 N SEPULVEDA BLVD
Group Practice or individual's line 1 address
City MANHATTAN BEACH
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 902662727
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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