MEDICARE: JONATHAN KLEIN 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
1	207RP1001X	Pulmonary Disease Physician	D41829	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1417998493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN KLEIN M.D.

Provider Business Mailing Address
First Line	:	400 REDLAND CT
Second Line	:	SUITE 208
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-3290
Country	:	US
Telephone Number	:	410-494-7921
Fax Number	:	410-902-8247

Provider Business Practice Location Address
First Line	:	1317 EDGEWATER DR # 5300
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6350
Country	:	US
Telephone Number	:	516-584-2080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	02/05/2026

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