Doctor Name: | MR. IRA H KRAUS |
NPI Number: | 1588667075 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | DPM0000000401 |
Business Practice Address: | 2368 Battlefield Pkwy Fort Oglethorpe, GA - 307424030 |
Business Phone Number: | 7068616200 |
Business Fax Number: | 7068616222 |
Mailing Address: | 900 Circle 75 Pkwy Se, Ste. 900 ATLANTA |
State: | GA |
Postal Code: | 303393035 |
Phone Number: | 6784262171 |
Fax Number: | 4044461957 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 02/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | DPM0000000401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |