Healthcare Provider Details

I. General information

NPI: 1811010382
Provider Name (Legal Business Name): SUSANA FELDMAN-NAIM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6917 ARLINGTON RD SUITE 200
BETHESDA MD
20814-5211
US

IV. Provider business mailing address

5000 RIVER HILL RD
BETHESDA MD
20816-2239
US

V. Phone/Fax

Practice location:
  • Phone: 301-652-0411
  • Fax: 301-652-3447
Mailing address:
  • Phone: 301-652-0411
  • Fax: 301-652-3447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0048291
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: