Individual
GORDON JEROME KRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7550 WOLF RIVER BLVD STE 103, GERMANTOWN, TN 38138-1779
(901) 761-9097
(901) 682-7635
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13609
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4110756
AETNA
TN
01
—
57217
BLUE CROSS
TN
Enumeration date
09/20/2006
Last updated
05/16/2025
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