Provider Demographics
NPI:1104021559
Name:CRANE, ANDREA KUNTARAF (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:KUNTARAF
Last Name:CRANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANDREA
Other - Middle Name:LAREINA
Other - Last Name:OEY KUNTARAF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2920 HIGHWOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-0010
Mailing Address - Country:US
Mailing Address - Phone:877-498-4490
Mailing Address - Fax:
Practice Address - Street 1:10010 FALLS OF NEUSE RD STE 205
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-8496
Practice Address - Country:US
Practice Address - Phone:919-235-6509
Practice Address - Fax:919-235-6591
Is Sole Proprietor?:No
Enumeration Date:2007-06-17
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57-012298207V00000X
NC2010-00276207V00000X
NC201400046207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology