Provider Demographics
NPI:1780633560
Name:KLEIN, MELVYN HARVEY (MD)
Entity Type:Individual
Prefix:
First Name:MELVYN
Middle Name:HARVEY
Last Name:KLEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4545 E 9TH AVE
Mailing Address - Street 2:STE 150
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3906
Mailing Address - Country:US
Mailing Address - Phone:303-327-4700
Mailing Address - Fax:303-327-4711
Practice Address - Street 1:130 RAMPART WAY
Practice Address - Street 2:150
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6440
Practice Address - Country:US
Practice Address - Phone:303-327-4700
Practice Address - Fax:303-327-4711
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO16608207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01166081Medicaid
CO01166081Medicaid
D23103Medicare UPIN