HomeNPI Verification

NPI Verification

National Provider Identifier: 1972957157

Mary Chiranka De Croos, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (3)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

1000 BRECKENRIDGE ST STE 200

OWENSBORO, KY 423030876

Phone: 270-691-8040

NPI Enumeration Date

April 14, 2016

NPI Number

1972957157

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry