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NPI Code Detail

MEDICARE: CHERYL KLEIN MD

MEDICARE: CHERYL KLEIN MD
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
1208000000XPediatrics Physician01057697AIN
2208M00000XHospitalist Physician01057697AIN

Other Identifiers

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

General Provider Information

NPI Number : 1700860616
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL KLEIN MD
Provider Business Mailing Address
First Line : 10330 N MERIDIAN ST # 300
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46290-1024
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 N 16TH ST
Second Line :
City : NEW CASTLE
State : IN
Zip : 47362-4319
Country : US
Telephone Number : 765-599-3177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 09/11/2020

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