Provider Demographics
NPI:1083793624
Name:KLAFTER, ANDREW B (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:B
Last Name:KLAFTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7502 STATE RD
Mailing Address - Street 2:SUITE 2280
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-2596
Mailing Address - Country:US
Mailing Address - Phone:513-474-8900
Mailing Address - Fax:513-233-6693
Practice Address - Street 1:7502 STATE RD
Practice Address - Street 2:SUITE 2280
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-2596
Practice Address - Country:US
Practice Address - Phone:513-474-8900
Practice Address - Fax:513-233-6693
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350781662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2231338Medicaid
OHP00005189OtherMEDICARE RAILROAD
OHKL4044401Medicare PIN
OH2231338Medicaid
KL4044403Medicare ID - Type Unspecified