MEDICARE: IRA A 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	174400000X	Specialist	16161	NV
2	174400000X	Specialist	MA 69597	NJ
3	207L00000X	Anesthesiology Physician	1901351	NY
4	207L00000X	Anesthesiology Physician	16161	NV

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629073945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRA A KLEIN M.D.

Provider Business Mailing Address
First Line	:	10016 SUMMIT CANYON DR.
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144
Country	:	US
Telephone Number	:	702-245-6979
Fax Number	:	702-947-4757

Provider Business Practice Location Address
First Line	:	8874 COMMERCE LOOP DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43240-2122
Country	:	US
Telephone Number	:	614-271-9142
Fax Number	:

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	12/26/2024

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Directions to “ IRA A KLEIN M.D.” Practice Location

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