Healthcare Provider Details

I. General information

NPI: 1336324227
Provider Name (Legal Business Name): KLAUS FRIEDRICH KOELBEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7909 WILLOW ST
NEW ORLEANS LA
70118-4057
US

IV. Provider business mailing address

7909 WILLOW ST
NEW ORLEANS LA
70118-4057
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-4000
  • Fax: 504-894-2868
Mailing address:
  • Phone: 504-842-4000
  • Fax: 504-894-2868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD201825
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberMD.201825
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: