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NPI Code Detail

MEDICARE: DR. DANIEL B KRAVITZ M.D.

MEDICARE: DR. DANIEL B KRAVITZ M.D.
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
12084P0802XAddiction Psychiatry PhysicianMD034783EPA
22084P0805XGeriatric Psychiatry PhysicianMD034783EPA
32084P0800XPsychiatry PhysicianMD034783EPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8260041333OTHERPAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101426201OTHERPACAPITAL BLUE CROSS
2687065OTHERPABC/BS OF MD. CARE FIRST
3243587OTHERPAMAMSI
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5033383OTHERPAPA BLUE SHIELD
61019210OTHERPACIGNA BEHAVIORAL HEALTH
7053735000OTHERPAMAGELLAN
9093155OTHERPAVALUE OPTIONS

General Provider Information

NPI Number : 1720022254
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL B KRAVITZ M.D.
Provider Business Mailing Address
First Line : 785 5TH AVE STE 3
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-4232
Country : US
Telephone Number : 717-263-9555
Fax Number : 717-709-6529
Provider Business Practice Location Address
First Line : 2501 OREGON PIKE
Second Line :
City : LANCASTER
State : PA
Zip : 17601-4890
Country : US
Telephone Number : 717-735-1954
Fax Number : 717-851-6349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 07/27/2023

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