Provider Demographics
NPI:1740324920
Name:KRATZ, SABRINA (MD)
Entity type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:
Last Name:KRATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S PACA ST
Mailing Address - Street 2:EMERGENCY MEDICINE, 6TH FLOOR SUITE 200
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1642
Mailing Address - Country:US
Mailing Address - Phone:410-328-8025
Mailing Address - Fax:410-328-8028
Practice Address - Street 1:500 UPPER CHESAPEAKE DR
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4324
Practice Address - Country:US
Practice Address - Phone:310-790-8372
Practice Address - Fax:301-790-8851
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0065647207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD413223800Medicaid
MD451601000Medicaid
MD413046400Medicaid
MDQ704Medicare PIN
MD489PR516Medicare PIN
MD413223800Medicaid
MD613LQ704Medicare PIN