Provider Demographics
NPI:1831103340
Name:STRAUB, KARL DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:KARL
Middle Name:DAVID
Last Name:STRAUB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4300 W 7TH ST
Mailing Address - Street 2:111/LR V.A. MEDICAL CENTER
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5446
Mailing Address - Country:US
Mailing Address - Phone:501-257-5867
Mailing Address - Fax:501-257-5866
Practice Address - Street 1:4300 W 7TH ST
Practice Address - Street 2:111/LR V.A. MEDICAL CENTER
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5446
Practice Address - Country:US
Practice Address - Phone:501-257-5867
Practice Address - Fax:501-257-5866
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARR-2842207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARD84341Medicare UPIN