1700220340 NPI number — DR. ALEXANDER HELMUT KURT KROEMER M.D.

Table of content: DR. ALEXANDER HELMUT KURT KROEMER M.D. (NPI 1700220340)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700220340 NPI number — DR. ALEXANDER HELMUT KURT KROEMER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KROEMER
Provider First Name:
ALEXANDER
Provider Middle Name:
HELMUT KURT
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:
1700220340
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/23/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3800 RESERVOIR RD NW
Provider Second Line Business Mailing Address:
MEDSTAR GEORGETOWN TRANSPLANT INSTITUTE
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
DC
Provider Business Mailing Address Postal Code:
20007-2113
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
202-444-3700
Provider Business Mailing Address Fax Number:
877-680-8193

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3800 RESERVOIR RD NW
Provider Second Line Business Practice Location Address:
MEDSTAR GEORGETOWN TRANSPLANT INSTITUTE
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20007-2113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-444-3700
Provider Business Practice Location Address Fax Number:
877-680-8193
Provider Enumeration Date:
04/25/2013

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: 204F00000X , with the licence number:  MD043313 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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