Provider Demographics
NPI:1740363035
Name:KLEIMAN, LOUIS M (DO)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:M
Last Name:KLEIMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 13579
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-3579
Mailing Address - Country:US
Mailing Address - Phone:484-628-0796
Mailing Address - Fax:484-334-7026
Practice Address - Street 1:1020 GRINGS HILL RD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19608-8844
Practice Address - Country:US
Practice Address - Phone:610-898-5030
Practice Address - Fax:610-777-3474
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006348L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101980920Medicaid
PA133257Medicare PIN