Provider Demographics
NPI:1871644997
Name:HAAS, KLAUS FRIEDRICH (MD)
Entity Type:Individual
Prefix:DR
First Name:KLAUS
Middle Name:FRIEDRICH
Last Name:HAAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 GRANITE DR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818
Mailing Address - Country:US
Mailing Address - Phone:401-398-1740
Mailing Address - Fax:401-398-1740
Practice Address - Street 1:105 GRANITE DR
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-5033
Practice Address - Country:US
Practice Address - Phone:401-398-1740
Practice Address - Fax:401-398-1740
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD04399208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI17-00249OtherUNITED HEALTH SERVICES
RI26931-1OtherBLUE SHIELD
RIKH51161Medicaid
RIKH51161Medicaid
RID87149Medicare UPIN