Provider Demographics
NPI:1427059450
Name:KLAINER, ELISA G (MD)
Entity type:Individual
Prefix:MRS
First Name:ELISA
Middle Name:G
Last Name:KLAINER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5968 CANAL BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2954
Mailing Address - Country:US
Mailing Address - Phone:504-486-0533
Mailing Address - Fax:504-488-2393
Practice Address - Street 1:4228 WILLIAMS BLVD
Practice Address - Street 2:STE 203
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2270
Practice Address - Country:US
Practice Address - Phone:504-482-0434
Practice Address - Fax:504-484-6660
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAL014948207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1316512Medicaid
B64809Medicare UPIN
LA1316512Medicaid