Provider Demographics
NPI:1902816044
Name:FELDSTEIN, RICHARD (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:FELDSTEIN
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 1:7131 ARLINGTON RD
Mailing Address - Street 2:APT #246
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2903
Mailing Address - Country:US
Mailing Address - Phone:912-433-0970
Mailing Address - Fax:
Practice Address - Street 1:7131 ARLINGTON RD
Practice Address - Street 2:APT #246
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2903
Practice Address - Country:US
Practice Address - Phone:912-433-0970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010307012084P0800X
GA0615792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
E21144Medicare UPIN
0630051Medicare PIN
0630051Medicare PIN