Provider Demographics
NPI:1851330559
Name:FELDMAN, IRENE A (MD)
Entity Type:Individual
Prefix:DR
First Name:IRENE
Middle Name:A
Last Name:FELDMAN
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 1:5225 POOKS HILL RD
Mailing Address - Street 2:SUITE 1-A
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2052
Mailing Address - Country:US
Mailing Address - Phone:301-897-8550
Mailing Address - Fax:301-897-8554
Practice Address - Street 1:5225 POOKS HILL RD
Practice Address - Street 2:SUITE 1-A
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2052
Practice Address - Country:US
Practice Address - Phone:301-897-8550
Practice Address - Fax:301-897-8554
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046734207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
G00506Medicare ID - Type Unspecified
G35743Medicare UPIN