Provider Demographics
NPI:1376545319
Name:KLAUS, ANDREW P (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:P
Last Name:KLAUS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5815 WESTBOURNE AVE
Mailing Address - Street 2:ATTN: MELISSA MUETZEL
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1459
Mailing Address - Country:US
Mailing Address - Phone:614-280-3916
Mailing Address - Fax:614-722-7945
Practice Address - Street 1:4882 E MAIN ST
Practice Address - Street 2:STE 250
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-3189
Practice Address - Country:US
Practice Address - Phone:614-464-0884
Practice Address - Fax:614-464-3440
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2009-02-23
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Provider Licenses
StateLicense IDTaxonomies
OH35034627207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0186767Medicaid
OHKL4156581Medicare PIN
OHC00952Medicare UPIN