Provider Demographics
NPI:1306842430
Name:ALIMURKA, KRYSTYNA TAMARA (MD)
Entity Type:Individual
Prefix:DR
First Name:KRYSTYNA
Middle Name:TAMARA
Last Name:ALIMURKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 EXECUTIVE DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-3999
Mailing Address - Country:US
Mailing Address - Phone:423-875-6162
Mailing Address - Fax:
Practice Address - Street 1:1039 EXECUTIVE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-3999
Practice Address - Country:US
Practice Address - Phone:423-875-6162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13017207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3167616Medicare ID - Type Unspecified
TNB59334Medicare UPIN