Provider Demographics
NPI:1114986205
Name:KRASNOW, JOSHUA MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MICHAEL
Last Name:KRASNOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HOLLAND WAY FL 1
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2997
Mailing Address - Country:US
Mailing Address - Phone:603-773-9992
Mailing Address - Fax:603-778-6393
Practice Address - Street 1:3 ALUMNI DR STE 101
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2122
Practice Address - Country:US
Practice Address - Phone:603-773-9992
Practice Address - Fax:603-778-6393
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH23557207RI0011X
AL28438207RI0011X, 207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL193115Medicaid
7981207OtherAETNA
P00253850OtherRR MEDICARE
AL511-79872OtherBCBS
ALP00465448OtherRR MEDICARE
AL51049263OtherBCBS
AL51598710OtherBCBS
51719OtherFALLON
AL009912826Medicaid
AL112598Medicaid
AL112587Medicaid
AL51049260OtherBCBS
AA38567OtherHPHC
AL51007073OtherBCBS
AL51049261OtherBCBS
H36326OtherVIVA HEALTH
AL51049262OtherBCBS
7981207OtherAETNA
AL112602Medicaid
MAJ23440OtherBCBS
MA0131041Medicaid
TN4175936OtherBCBS
P00253850OtherRR MEDICARE
ALP00465448OtherRR MEDICARE
AL51049444OtherBCBS
AL112587Medicaid
AL112584Medicaid
AL112602Medicaid