Provider Demographics
NPI:1346209699
Name:KRASOWSKI, ROBERT JERZY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JERZY
Last Name:KRASOWSKI
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 1:624 QUAKER LN
Mailing Address - Street 2:STE. 207C
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3832
Mailing Address - Country:US
Mailing Address - Phone:336-883-2500
Mailing Address - Fax:
Practice Address - Street 1:306 WESTWOOD AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4341
Practice Address - Country:US
Practice Address - Phone:336-885-6168
Practice Address - Fax:336-885-6402
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9900276207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8912034Medicaid
NCP00655188OtherRR MEDICARE
NC8912034Medicaid
NCP00655188OtherRR MEDICARE
NC2272519AMedicare ID - Type Unspecified