MEDICARE: PAVEL KLEIN MD

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	2084E0001X	Epilepsy Physician	D0054270	MD
2	2084N0400X	Neurology Physician	D0054270	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3117668	OTHER	MD	OPTIMUM CHOICE
2	521186611	OTHER		UNITED HEALTH CARE
3	9070 0036	OTHER	MD	BSDC
4	3117668	OTHER		ALLIANCE
5	1453333	OTHER	MD	CIGNA PIN
6	687510-04	OTHER	MD	BSMD
7	3117668	OTHER	MD	MDIPA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	3117668	OTHER		MAMSI

General Provider Information

NPI Number	:	1770528648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAVEL KLEIN MD

Provider Business Mailing Address
First Line	:	6410 ROCKLEDGE DRIVE, #610
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817
Country	:	UM
Telephone Number	:	301-530-9744
Fax Number	:	301-530-0046

Provider Business Practice Location Address
First Line	:	6410 ROCKLEDGE DRIVE, #610
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817
Country	:	UM
Telephone Number	:	301-530-9744
Fax Number	:	301-530-0046

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

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	05/18/2026

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Directions to “ PAVEL KLEIN MD” Practice Location

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