Provider Demographics
NPI:1730343336
Name:SCHAFER, KLAUS O (MD)
Entity type:Individual
Prefix:DR
First Name:KLAUS
Middle Name:O
Last Name:SCHAFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1863 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4906
Mailing Address - Country:US
Mailing Address - Phone:202-321-8595
Mailing Address - Fax:703-563-9415
Practice Address - Street 1:1863 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4906
Practice Address - Country:US
Practice Address - Phone:202-321-8595
Practice Address - Fax:703-563-9415
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-12
Last Update Date:2008-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG6608207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine