Healthcare Provider Details

I. General information

NPI: 1730423997
Provider Name (Legal Business Name): LUKE A KRAUSE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2012
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5354 REYNOLDS ST STE 424
SAVANNAH GA
31405-6011
US

IV. Provider business mailing address

PO BOX 15489
SAVANNAH GA
31416-2189
US

V. Phone/Fax

Practice location:
  • Phone: 912-819-5999
  • Fax: 912-819-5980
Mailing address:
  • Phone: 912-819-5980
  • Fax: 912-819-5999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number89441
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number89441
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number344198
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number344198
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number67525-21
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: