Provider Demographics
NPI:1497945901
Name:KRLIN, RYAN M (MD)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:M
Last Name:KRLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1542 TULANE AVE
Mailing Address - Street 2:LSU DEPT OF UROLOGY, RM 547
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2865
Mailing Address - Country:US
Mailing Address - Phone:504-568-2207
Mailing Address - Fax:504-568-3990
Practice Address - Street 1:3601 HOUMA BLVD STE 302
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4310
Practice Address - Country:US
Practice Address - Phone:504-412-1600
Practice Address - Fax:504-412-1626
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.201386208800000X, 2088F0040X
OH35.094859208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088F0040XAllopathic & Osteopathic PhysiciansUrologyFemale Pelvic Medicine and Reconstructive Surgery
No208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1077488Medicaid
OH3080311Medicaid