Provider Demographics
NPI:1366515710
Name:NEIMAN, RICHARD A (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:A
Last Name:NEIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11417 124TH AVE NE
Mailing Address - Street 2:STE 103
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4677
Mailing Address - Country:US
Mailing Address - Phone:425-899-1664
Mailing Address - Fax:425-899-4011
Practice Address - Street 1:11911 NE 132ND ST
Practice Address - Street 2:SUITE 100
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-2900
Practice Address - Country:US
Practice Address - Phone:425-899-1664
Practice Address - Fax:425-899-4011
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA025209 MD00022877207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1102896Medicaid
WA152930OtherL&I
WAG8800410Medicare ID - Type Unspecified
WA152930OtherL&I