Provider Demographics
NPI:1609096536
Name:KRAMES, ELLIOT STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:ELLIOT
Middle Name:STEPHEN
Last Name:KRAMES
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 1:2000 VAN NESS AVE
Mailing Address - Street 2:STE #402
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3023
Mailing Address - Country:US
Mailing Address - Phone:415-567-1219
Mailing Address - Fax:415-567-2534
Practice Address - Street 1:2000 VAN NESS AVE
Practice Address - Street 2:STE #402
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3023
Practice Address - Country:US
Practice Address - Phone:415-567-1219
Practice Address - Fax:415-567-2534
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23073208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG23073OtherSTATE LICENSE NUMBER
CAZZZ43183ZOtherBLUE SHIELD PROVIDER ID
CA00G230730Medicare ID - Type UnspecifiedPROVIDER ID NUMBER
CAG23073OtherSTATE LICENSE NUMBER