MEDICARE: SAMUEL HARRISON KRAUS MD

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	207V00000X	Obstetrics & Gynecology Physician	0101288187	VA

General Provider Information

NPI Number	:	1962146399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL HARRISON KRAUS MD

Provider Business Mailing Address
First Line	:	1212 KOGER CENTER BLVD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23235-4778
Country	:	US
Telephone Number	:	804-348-8773
Fax Number	:	804-897-9074

Provider Business Practice Location Address
First Line	:	7611 FOREST AVE STE 200
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-4946
Country	:	US
Telephone Number	:	804-897-2100
Fax Number	:	804-897-9074

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

Provider Enumeration Date	:	04/22/2022
Last Update Date	:	06/10/2026

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