Healthcare Provider Details

I. General information

NPI: 1770528648
Provider Name (Legal Business Name): PAVEL KLEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 ROCKLEDGE DRIVE, #610
BETHESDA MD
20817
UM

IV. Provider business mailing address

6410 ROCKLEDGE DRIVE, #610
BETHESDA MD
20817
UM

V. Phone/Fax

Practice location:
  • Phone: 301-530-9744
  • Fax: 301-530-0046
Mailing address:
  • Phone: 301-530-9744
  • Fax: 301-530-0046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License NumberD0054270
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0054270
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: