Provider Demographics
NPI:1043264708
Name:ASTRA, LOUIS I (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:I
Last Name:ASTRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1501 S PINELLAS AVE
Mailing Address - Street 2:STE T
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-1952
Mailing Address - Country:US
Mailing Address - Phone:727-532-0002
Mailing Address - Fax:
Practice Address - Street 1:8607 EASTHAVEN CT
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-5217
Practice Address - Country:US
Practice Address - Phone:727-375-2849
Practice Address - Fax:727-372-3402
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME94887208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL275458400Medicaid
FLP00426237OtherRAILROAD MEDICARE NUMBER
FL275458400Medicaid
H68586Medicare UPIN