Provider Demographics
NPI:1033187455
Name:KROP, IAN ELLIOTT (MD PHD)
Entity Type:Individual
Prefix:
First Name:IAN
Middle Name:ELLIOTT
Last Name:KROP
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 208028
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8028
Mailing Address - Country:US
Mailing Address - Phone:203-785-4095
Mailing Address - Fax:203-785-4116
Practice Address - Street 1:35 PARK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1110
Practice Address - Country:US
Practice Address - Phone:203-200-2328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT71123207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
214556OtherTUFTS
5256233OtherCIGNA
A34074OtherMEDICARE
J24828OtherMASSACHUSETTS BCBS
3000522OtherUNITED HEALTH CARE
2900088OtherAETNA US HEALTHCARE
P00080815OtherRR MEDICARE BINNEY MED
65548OtherFALLON COMMUNITY HLTH PLN
0172910OtherMASSHEALTH
14797OtherHPHC
J24828OtherMASSACHUSETTS BCBS