1730232786 NPI number — DR. IAIN DONALD CRAIK KIRKPATRICK M.D.

Table of content: DR. IAIN DONALD CRAIK KIRKPATRICK M.D. (NPI 1730232786)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730232786 NPI number — DR. IAIN DONALD CRAIK KIRKPATRICK M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KIRKPATRICK
Provider First Name:
IAIN
Provider Middle Name:
DONALD CRAIK
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730232786
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 SHORECREST DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINNIPEG
Provider Business Mailing Address State Name:
MANITOBA
Provider Business Mailing Address Postal Code:
R3P 1P4
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
204-885-4961
Provider Business Mailing Address Fax Number:
204-885-4961

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 PASTEUR DR
Provider Second Line Business Practice Location Address:
SHS H1307, DEPT. OF RADIOLOGY, STANFORD HOSPITAL
Provider Business Practice Location Address City Name:
STANFORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94305-2200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-723-8463
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085B0100X , with the licence number:  A84018 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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