Provider Demographics
NPI:1578564506
Name:FIMAN, KEITH H (MD)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:H
Last Name:FIMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94611-3525
Mailing Address - Country:US
Mailing Address - Phone:713-305-1074
Mailing Address - Fax:
Practice Address - Street 1:333 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:CA
Practice Address - Zip Code:94611-3525
Practice Address - Country:US
Practice Address - Phone:713-305-1074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-01
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2370207RG0100X
CAG193185207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F8812OtherBLUE CROSS BLUE SHIELD TX
TX131146608Medicaid
TX100017207OtherRAILROAD MEDICARE
TX8F8812OtherBLUE CROSS BLUE SHIELD TX
TX8477B2Medicare ID - Type UnspecifiedMEDICARE-FORT BEND COUNTY
TXE92895Medicare UPIN