Provider Demographics
NPI:1952313850
Name:CARACIONI, ADRIAN A (MD)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:A
Last Name:CARACIONI
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:DEPT CH 14389
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60055-4389
Mailing Address - Country:US
Mailing Address - Phone:785-295-8108
Mailing Address - Fax:785-270-7646
Practice Address - Street 1:1700 SW 7TH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2489
Practice Address - Country:US
Practice Address - Phone:785-295-7800
Practice Address - Fax:785-231-5990
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS04-30678207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F96480Medicare UPIN
KS200263850AMedicaid
OK200252180AMedicaid
F96480Medicare UPIN