Provider Demographics
NPI:1891877130
Name:KRAMM, PAUL CASSIAN (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:CASSIAN
Last Name:KRAMM
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 1:11406 LAKE SHERWOOD AVE. NORTH
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816
Mailing Address - Country:US
Mailing Address - Phone:225-757-5657
Mailing Address - Fax:225-757-5760
Practice Address - Street 1:11406 LAKE SHERWOOD AVE. NORTH
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816
Practice Address - Country:US
Practice Address - Phone:225-757-5657
Practice Address - Fax:225-757-5760
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11430R208100000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
4572830OtherAETNA
LA1665321Medicaid
328551OtherCOVENTRY
328551OtherCOVENTRY
LA1306928411Medicare PIN