Provider Demographics
NPI:1790803153
Name:HEYMAN, ANDREW HOWARD (MD)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:HOWARD
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:PO BOX 107,
Mailing Address - Street 2:ROUTE 50 WEST
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105
Mailing Address - Country:US
Mailing Address - Phone:703-327-2434
Mailing Address - Fax:703-327-2729
Practice Address - Street 1:39070 JOHN MOSBY HIGHWAY
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105
Practice Address - Country:US
Practice Address - Phone:703-327-2434
Practice Address - Fax:703-327-2729
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083474207Q00000X, 390200000X
VA0101245474208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program