MEDICARE: DR. LEON STRAUSS 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	207W00000X	Ophthalmology Physician	D0034104	MD

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	8070	OTHER	MD	PTAN

General Provider Information

NPI Number	:	1811971716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEON STRAUSS MD

Provider Business Mailing Address
First Line	:	1777 REISTERSTOWN RD
Second Line	:	SUITE 380 EAST
City	:	BALTIMORE
State	:	MD
Zip	:	21208-1393
Country	:	US
Telephone Number	:	410-484-5550
Fax Number	:	410-484-5665

Provider Business Practice Location Address
First Line	:	1777 REISTERSTOWN RD
Second Line	:	SUITE 380 EAST
City	:	BALTIMORE
State	:	MD
Zip	:	21208-1306
Country	:	US
Telephone Number	:	410-484-5550
Fax Number	:	410-484-5665

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	03/14/2014

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Directions to “ DR. LEON STRAUSS MD” Practice Location

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