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NPI Code Detail

MEDICARE: DR. SAMUEL KLEIMAN M.D.

MEDICARE: DR. SAMUEL KLEIMAN 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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianD0026262MD
2207RP1001XPulmonary Disease PhysicianD0026262MD

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 : 1407851124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL KLEIMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 1400
Second Line :
City : FAIRFAX
State : VA
Zip : 22038-1400
Country : US
Telephone Number : 703-383-9543
Fax Number : 703-383-9532
Provider Business Practice Location Address
First Line : 11711 LIVINGSTON RD
Second Line :
City : FORT WASHINGTON
State : MD
Zip : 20744-5151
Country : US
Telephone Number : 301-203-2232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 04/03/2015

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