Provider Demographics
NPI:1083739874
Name:KRAH, NATALIE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ANN
Last Name:KRAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9348 NOTRE DAME AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311
Mailing Address - Country:US
Mailing Address - Phone:818-610-1113
Mailing Address - Fax:818-348-7005
Practice Address - Street 1:21201 VICTORY BOULEVARD
Practice Address - Street 2:SUITE 200
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303
Practice Address - Country:US
Practice Address - Phone:818-702-9339
Practice Address - Fax:818-348-7005
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG807662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG80766OtherSTATE MEDICAL LICENSE
CAG80766OtherSTATE MEDICAL LICENSE
CAG80766Medicare UPIN