CRAIG S KOENIG M.D.
Allergy and Immunology
Chesapeake, Virginia
Provider NPI: 1609844398
Provider Information:CRAIG S KOENIG M.D.
Practice Location:
300 MEDICAL PKWY STE 100 CHESAPEAKE, VA 23320 US
Tel: 757-547-7702 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | VA | 0116016274 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 010288835 | VA | 05 | |
| RAILROAD MEDICARE GROUP # | CF1969 | 01 | |
| GROUP NPI# | 1326022880 | 01 | |
| INDIVIDUAL NPI# | 1609844398 | 01 | |
| MEDICARE GROUP # | C01592 | VA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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