Provider Demographics
NPI:1568403947
Name:HEYMAN, MEYER REUBEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MEYER
Middle Name:REUBEN
Last Name:HEYMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CATON AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5201
Mailing Address - Country:US
Mailing Address - Phone:667-234-2910
Mailing Address - Fax:667-234-3517
Practice Address - Street 1:900 CATON AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5201
Practice Address - Country:US
Practice Address - Phone:667-234-2910
Practice Address - Fax:667-234-3517
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD08246207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC026608800Medicaid
MD786681000Medicaid
DE1000016032Medicaid
MD324435-01OtherBLUE CROSS/BLUE SHIELD
MD324435-01OtherBLUE CROSS/BLUE SHIELD
DC026608800Medicaid
MD786681000Medicaid