Provider Demographics
NPI:1144216656
Name:KRAMER, ALAN HARVEY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:HARVEY
Last Name:KRAMER
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 1:3350 PADDOCK PKWY
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-9119
Mailing Address - Country:US
Mailing Address - Phone:678-679-6210
Mailing Address - Fax:678-679-6220
Practice Address - Street 1:3340 PADDOCKS PKWY
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-9119
Practice Address - Country:US
Practice Address - Phone:678-679-6210
Practice Address - Fax:678-679-6220
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL036721207RR0500X
GA058054207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
50975OtherMEDICARE PTAN
FLD62734Medicare UPIN