Individual
MR. STEPHEN TERRY KRAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 S LIBERTY ST, HC-62, NEW ORLEANS, LA 70112-2618
(504) 988-6300
(504) 988-6348
Mailing address
1415 TULANE AVE, TW-4, NEW ORLEANS, LA 70112-2600
(504) 988-3290
(504) 988-6216
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
053474
GA
2085R0001X
Radiation Oncology Physician
Primary
MD.05613
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316857
—
LA
01
—
14119
PEACH STATE
—
05
—
264365013A
—
GA
01
—
341219
WELLCARE
—
01
—
CL3407
RAILROAD MEDICARE GROUP
—
01
—
GRP754
MEDICARE GROUP
—
01
—
P00066205
RAILROAD MEDICARE
—
Enumeration date
11/21/2005
Last updated
09/21/2010
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