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1619918729

NPI Code Detail

MEDICARE: ANDREW M KRAUSS M.D.

MEDICARE: ANDREW M KRAUSS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	12981	MS
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	21668	TN
3	207W00000X	Ophthalmology Physician	12981	MS
4	207W00000X	Ophthalmology Physician	MD0000021668	TN
5	207WX0107X	Retina Specialist (Ophthalmology) Physician	N-8386	AR
6	207W00000X	Ophthalmology Physician	N-8386	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619918729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW M KRAUSS M.D.

Provider Business Mailing Address
First Line	:	825 RIDGE LAKE BLVD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-9411
Country	:	US
Telephone Number	:	901-685-2200
Fax Number	:	901-820-2342

Provider Business Practice Location Address
First Line	:	825 RIDGE LAKE BLVD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38120-9411
Country	:	US
Telephone Number	:	901-685-2200
Fax Number	:	901-820-2342

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	01/15/2018

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Directions to “ ANDREW M KRAUSS M.D.” Practice Location

Language	Start Address	Practice Location

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