Provider Demographics
NPI:1699839118
Name:CRACCO, ALAIN F (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAIN
Middle Name:F
Last Name:CRACCO
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 1:5621 READ BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-3105
Mailing Address - Country:US
Mailing Address - Phone:504-241-5200
Mailing Address - Fax:
Practice Address - Street 1:5621 READ BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3105
Practice Address - Country:US
Practice Address - Phone:504-241-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA011790207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1128368Medicaid
LA1002130001Medicare NSC
LAB63389Medicare UPIN
LA51827Medicare ID - Type Unspecified