Provider Demographics
NPI:1508842394
Name:KRAJINA, ALEXANDER ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:ANTHONY
Last Name:KRAJINA
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 1:1560 N 115TH ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8414
Mailing Address - Country:US
Mailing Address - Phone:206-368-1188
Mailing Address - Fax:206-365-4398
Practice Address - Street 1:1560 N 115TH ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8414
Practice Address - Country:US
Practice Address - Phone:206-368-1188
Practice Address - Fax:206-365-4398
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00026348207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD00026348OtherMEDICAL LICENSE
WAP00371020OtherRAILROAD MEDICARE
WA1097658Medicaid
WAP00371020OtherRAILROAD MEDICARE
WAMD00026348OtherMEDICAL LICENSE