Provider Demographics
NPI:1568484202
Name:KLAINER, TERESA ELENA (MD)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:ELENA
Last Name:KLAINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 TECHE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-5843
Mailing Address - Country:US
Mailing Address - Phone:504-365-8800
Mailing Address - Fax:
Practice Address - Street 1:1408 TECHE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-5843
Practice Address - Country:US
Practice Address - Phone:504-365-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12246R208600000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1540668Medicaid
5A699Medicare ID - Type Unspecified
LA1540668Medicaid