Whalio Doctors

NPI 1063123016

Dani Kruchevsky, MD

Practitioner Plastic and Reconstructive Surgery Physician Memphis, TN

Practice location

Address
1068 Cresthaven Rd STE 500, Memphis, TN 38119-0846
Phone
(901) 866-8525
Fax
(901) 302-2525
Mailing address
1068 Cresthaven Rd STE 300, Memphis, TN 38119-0809

Registered specialties (3)

Plastic and Reconstructive Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 68111 (TN)
Plastic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 68111 (TN)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 478246 (PA)

Registry record

NPI
1063123016
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Dec 2022
Record last updated
26 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.