MEDICARE: ELLIOT H KLAIN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	302	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699757146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIOT H KLAIN D.O.

Provider Business Mailing Address
First Line	:	9127 W RUSSELL RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1253
Country	:	US
Telephone Number	:	702-878-0070
Fax Number	:	702-209-2064

Provider Business Practice Location Address
First Line	:	2931 N TENAYA WAY
Second Line	:	SUITE 102
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0456
Country	:	US
Telephone Number	:	702-380-8111
Fax Number	:	702-380-8028

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	11/09/2017

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Directions to “ ELLIOT H KLAIN D.O.” Practice Location

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