Provider Demographics
NPI:1578505590
Name:FELDMAN, DANIEL HYMAN (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:HYMAN
Last Name:FELDMAN
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 1:12501 PROSPERITY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1647
Mailing Address - Country:US
Mailing Address - Phone:301-681-6730
Mailing Address - Fax:301-681-4268
Practice Address - Street 1:12501 PROSPERITY DR STE 100
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1647
Practice Address - Country:US
Practice Address - Phone:301-681-6730
Practice Address - Fax:301-681-4268
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00578192080A0000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD512103500Medicaid
495468OtherNCPPO
MD100458OtherPRIORITY PARTNERS MCO
7123248OtherAETNA
MD897071OtherMAMSI MIDATLANTIC