Provider Demographics
NPI:1497794275
Name:NAIMAN, BEVERLY ELAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:ELAINE
Last Name:NAIMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10833 TUCKAHOE WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4226
Mailing Address - Country:US
Mailing Address - Phone:301-754-7500
Mailing Address - Fax:301-838-5997
Practice Address - Street 1:1500 FOREST GLEN RD
Practice Address - Street 2:HOLY CROSS HOSPITAL
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1483
Practice Address - Country:US
Practice Address - Phone:301-754-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0051626208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG47180Medicare UPIN
DC010440S58Medicare PIN