Individual
ANDREW M KRAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9411
(901) 685-2200
(901) 820-2342
Mailing address
825 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9411
(901) 685-2200
(901) 820-2342
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
12981
MS
207W00000X
Ophthalmology Physician
MD0000021668
TN
207W00000X
Ophthalmology Physician
N-8386
AR
207WX0107X
Retina Specialist (Ophthalmology) Physician
12981
MS
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
21668
TN
207WX0107X
Retina Specialist (Ophthalmology) Physician
N-8386
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116122
—
MS
05
—
122001001
—
AR
05
—
1619918729
—
MO
05
—
3061365
—
TN
Enumeration date
06/09/2006
Last updated
01/15/2018
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