Provider Demographics
NPI:1730132929
Name:NEIMAT, SAMIR R (MD)
Entity Type:Individual
Prefix:
First Name:SAMIR
Middle Name:R
Last Name:NEIMAT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5454 WISCONSIN AVE
Mailing Address - Street 2:SUITE 1040
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6901
Mailing Address - Country:US
Mailing Address - Phone:301-270-8346
Mailing Address - Fax:301-907-9221
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:STE 1040
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6901
Practice Address - Country:US
Practice Address - Phone:301-270-1006
Practice Address - Fax:301-907-9221
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2014-03-05
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Provider Licenses
StateLicense IDTaxonomies
MDD00185512086S0129X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD084642N91Medicare PIN
MDD09314Medicare UPIN