MEDICARE: DR. KEITH H FIMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	H2370	TX
2	207RG0100X	Gastroenterology Physician	14231423-1235	UT
3	207RG0100X	Gastroenterology Physician	G193185	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100017207	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8F8812	OTHER	TX	BLUE CROSS BLUE SHIELD TX
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578564506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEITH H FIMAN M.D.

Provider Business Mailing Address
First Line	:	333 HAMPTON RD
Second Line	:
City	:	PIEDMONT
State	:	CA
Zip	:	94611-3525
Country	:	US
Telephone Number	:	713-305-1074
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 HAMPTON RD
Second Line	:
City	:	PIEDMONT
State	:	CA
Zip	:	94611-3525
Country	:	US
Telephone Number	:	713-305-1074
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	07/25/2025

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