Provider Demographics
NPI:1932586518
Name:KRAINEV, ALEXEI ARKADIEVICH (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXEI
Middle Name:ARKADIEVICH
Last Name:KRAINEV
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 1:3107 SUNFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-6515
Mailing Address - Country:US
Mailing Address - Phone:317-225-2024
Mailing Address - Fax:
Practice Address - Street 1:3107 SUNFIELD CIR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-6515
Practice Address - Country:US
Practice Address - Phone:317-225-2024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-02
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY52963208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice