MEDICARE: DR. ALEXANDER ANTHONY KRAJINA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD00026348	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00371020	OTHER	WA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD00026348	OTHER	WA	MEDICAL LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508842394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER ANTHONY KRAJINA MD

Provider Business Mailing Address
First Line	:	1560 N 115TH ST
Second Line	:	SUITE 207
City	:	SEATTLE
State	:	WA
Zip	:	98133-8414
Country	:	US
Telephone Number	:	206-368-1188
Fax Number	:	206-365-4398

Provider Business Practice Location Address
First Line	:	1560 N 115TH ST
Second Line	:	SUITE 207
City	:	SEATTLE
State	:	WA
Zip	:	98133-8414
Country	:	US
Telephone Number	:	206-368-1188
Fax Number	:	206-365-4398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	01/09/2014

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