Provider Demographics
NPI:1174509293
Name:KRAFT, VARA V (MD)
Entity Type:Individual
Prefix:DR
First Name:VARA
Middle Name:V
Last Name:KRAFT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4915 25TH AVE NE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-5667
Mailing Address - Country:US
Mailing Address - Phone:206-524-4737
Mailing Address - Fax:206-522-5261
Practice Address - Street 1:4915 25TH AVE NE
Practice Address - Street 2:SUITE 301
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-5667
Practice Address - Country:US
Practice Address - Phone:206-524-4737
Practice Address - Fax:206-522-5261
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2013-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00032996207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8184178Medicaid
WA8184178Medicaid