MEDICARE: DOUGLAS E KLIONS 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	207RG0100X	Gastroenterology Physician	MD045340L	PA

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	:	1518951854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS E KLIONS M.D.

Provider Business Mailing Address
First Line	:	100 EXCELA HEALTH DR STE 202
Second Line	:
City	:	LATROBE
State	:	PA
Zip	:	15650-9001
Country	:	US
Telephone Number	:	724-532-5360
Fax Number	:	724-879-4033

Provider Business Practice Location Address
First Line	:	100 EXCELA HEALTH DR STE 202
Second Line	:
City	:	LATROBE
State	:	PA
Zip	:	15650-9001
Country	:	US
Telephone Number	:	724-532-5360
Fax Number	:	724-879-4033

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

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	01/29/2025

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Directions to “ DOUGLAS E KLIONS M.D.” Practice Location

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