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NPI Code Detail

MEDICARE: DR. ANGELLE L. KLAR M.D.

MEDICARE: DR. ANGELLE L. KLAR M.D.
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
12080N0001XNeonatal-Perinatal Medicine Physician24290MS
22080N0001XNeonatal-Perinatal Medicine Physician025322LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376542233
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGELLE L. KLAR M.D.
Provider Business Mailing Address
First Line : 5959 S SHERWOOD FOREST BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-6038
Country : US
Telephone Number : 225-765-5727
Fax Number : 225-765-4278
Provider Business Practice Location Address
First Line : 8300 CONSTANTIN BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3489
Country : US
Telephone Number : 225-374-4325
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 02/02/2021

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