Provider Demographics
NPI:1215238597
Name:MICHAEL B KRINSKY M D MEDICAL CORPORATION
Entity type:Organization
Organization Name:MICHAEL B KRINSKY M D MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:KRINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-886-8033
Mailing Address - Street 1:20990 REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5918
Mailing Address - Country:US
Mailing Address - Phone:510-886-8033
Mailing Address - Fax:510-733-1542
Practice Address - Street 1:20990 REDWOOD RD
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5918
Practice Address - Country:US
Practice Address - Phone:510-886-8033
Practice Address - Fax:510-733-1542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA41610Medicare UPIN
CA00G225160Medicare PIN