Provider Demographics
NPI:1750428025
Name:KLEIN, CHRISTINA L (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:L
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1968 PEACHTREE RD NW
Mailing Address - Street 2:77 BUILDING 5TH FLOOR
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1281
Mailing Address - Country:US
Mailing Address - Phone:404-605-4606
Mailing Address - Fax:404-609-6728
Practice Address - Street 1:1968 PEACHTREE RD NW
Practice Address - Street 2:77 BUILDING 5TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1281
Practice Address - Country:US
Practice Address - Phone:404-605-4606
Practice Address - Fax:404-609-6728
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2015-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2009012796207RN0300X
GA70975207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003140942Medicaid
CO97188531Medicaid
GA202I118143Medicare PIN
GA003140942AMedicaid