Provider Demographics
NPI:1457350217
Name:ADSIT, SANDRA KRAUS (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:KRAUS
Last Name:ADSIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9025 BALBOA AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1520
Mailing Address - Country:US
Mailing Address - Phone:858-571-6800
Mailing Address - Fax:858-571-6801
Practice Address - Street 1:9025 BALBOA AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1520
Practice Address - Country:US
Practice Address - Phone:858-571-6800
Practice Address - Fax:858-571-6801
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG70400207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE86773Medicare UPIN
CAWG70400HMedicare ID - Type UnspecifiedPPIN