Basic Information
Provider Information
NPI: 1407969751
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KRAMER
FirstName: STEVEN
MiddleName: FRANK
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8906 SPANISH RIDGE AVE
Address2: STE. 202
City: LAS VEGAS
State: NV
PostalCode: 891481304
CountryCode: US
TelephoneNumber: 7025771622
FaxNumber: 7029124994
Practice Location
Address1: 1934 E SAHARA AVE
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891043842
CountryCode: US
TelephoneNumber: 7023695758
FaxNumber: 7024311860
Other Information
ProviderEnumerationDate: 08/17/2006
LastUpdateDate: 11/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X4245NVY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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