Provider Demographics
NPI:1407348253
Name:KLEIN, DAVID ANDREW (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANDREW
Last Name:KLEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 980135
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0695
Mailing Address - Country:US
Mailing Address - Phone:804-306-0553
Mailing Address - Fax:
Practice Address - Street 1:1200 EAST BROAD STREET VCU HEALTH SYSTEM WEST HOSPITAL
Practice Address - Street 2:7TH FLOOR, NORTH WING
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-0695
Practice Address - Country:US
Practice Address - Phone:800-243-1455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116033041207L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program