Provider Demographics
NPI:1386714665
Name:OSTROW, LOUIS BARRY (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:BARRY
Last Name:OSTROW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6750 POPLAR AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38138-7438
Mailing Address - Country:US
Mailing Address - Phone:901-757-5740
Mailing Address - Fax:901-758-8047
Practice Address - Street 1:6750 POPLAR AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38138-7438
Practice Address - Country:US
Practice Address - Phone:901-757-5740
Practice Address - Fax:901-758-8047
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN19220208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3808236Medicare ID - Type Unspecified
E73129Medicare UPIN