Provider Demographics
NPI:1316918535
Name:KRAMER, NEIL E (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:E
Last Name:KRAMER
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 1:6711 E CAMELBACK RD UNIT 27
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-2064
Mailing Address - Country:US
Mailing Address - Phone:480-760-5066
Mailing Address - Fax:
Practice Address - Street 1:6711 E CAMELBACK RD UNIT 27
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-2064
Practice Address - Country:US
Practice Address - Phone:480-760-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27950207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ563636Medicaid