Healthcare Provider Details

I. General information

NPI: 1730623182
Provider Name (Legal Business Name): RALPH HOWARD NEWMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2016
Last Update Date: 06/02/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 BOOKMARK TRL
DURHAM NC
27703-9871
US

IV. Provider business mailing address

1019 BOOKMARK TRL
DURHAM NC
27703-9871
US

V. Phone/Fax

Practice location:
  • Phone: 615-913-2667
  • Fax:
Mailing address:
  • Phone: 615-913-2667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number9601022
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number0000053847
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: