Provider Demographics
NPI:1861478901
Name:KRAVETZ, JAMES H (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:KRAVETZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3478 BUSKIRK AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4345
Mailing Address - Country:US
Mailing Address - Phone:510-393-1842
Mailing Address - Fax:
Practice Address - Street 1:2213 BUCHANAN RD STE 103
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4265
Practice Address - Country:US
Practice Address - Phone:925-303-4780
Practice Address - Fax:925-779-1455
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2019-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF1721207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine