Provider Demographics
NPI:1396758181
Name:KRAVITZ, STEVEN R (DPM)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:KRAVITZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 827282
Mailing Address - Street 2:TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182
Mailing Address - Country:US
Mailing Address - Phone:215-238-6600
Mailing Address - Fax:215-629-4905
Practice Address - Street 1:8TH AT RACE STREET
Practice Address - Street 2:TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-238-6600
Practice Address - Fax:215-629-4905
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC002061L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA231365971OtherHUMANA
31299OtherAETNA OSHC
PA333OtherELDER HEALTH / BRAVO
PA904100OtherKHPE PPO
PA1112234OtherKEYSTONE MERCY
PA231365971071OtherTRICARE
PA5588603OtherHMA
PAP1629481OtherOXFORD
PA0023101000OtherKHPE HMO
PA231365971OtherUNITED HEALTH CARE
PA33Y2369OtherHEALTHNET
PA558886Medicaid
PAJ56452OtherINTER CITY
PA439400OtherHEALTH AMERICA HEALTH ASSURANCE
PA480031463OtherTRAVELERS RR MEDICARE
PA0005588860006Medicaid
PA28824OtherHEALTH PARTNERS SENIOR PA
PA3Y2369OtherHEALTH NET
PAKR056452OtherBCBS
PA28824OtherHEALTH PARTNERS SENIOR PA
PA558886Medicaid