Provider Demographics
NPI:1184628760
Name:RAUER, ANDREAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREAS
Middle Name:
Last Name:RAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 OLD RUDNICK LN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-4912
Mailing Address - Country:US
Mailing Address - Phone:302-734-1760
Mailing Address - Fax:302-734-1720
Practice Address - Street 1:16 OLD RUDNICK LN
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-4912
Practice Address - Country:US
Practice Address - Phone:302-734-1760
Practice Address - Fax:302-734-1720
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2007-12-20
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-21
Provider Licenses
StateLicense IDTaxonomies
DEC1-0001748207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000069202Medicaid
B66420Medicare UPIN
096868A93Medicare PIN