Provider Demographics
NPI:1508075185
Name:NEUMANN, ILIANA ANGELICA (MD)
Entity Type:Individual
Prefix:
First Name:ILIANA
Middle Name:ANGELICA
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15825 SHADY GROVE RD STE 140
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4015
Mailing Address - Country:US
Mailing Address - Phone:301-869-9776
Mailing Address - Fax:301-417-4947
Practice Address - Street 1:5530 WISCONSIN AVE STE 850
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4446
Practice Address - Country:US
Practice Address - Phone:301-869-9776
Practice Address - Fax:301-417-4947
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2010-01464207Q00000X
TXR0462207Q00000X
MDD0097877207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine