Provider Demographics
NPI:1942381322
Name:SHUMAN, IRWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:IRWIN
Middle Name:
Last Name:SHUMAN
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 1:5 KITTERY CT
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2137
Mailing Address - Country:US
Mailing Address - Phone:301-469-6770
Mailing Address - Fax:
Practice Address - Street 1:2021 K ST NW
Practice Address - Street 2:408
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-223-1024
Practice Address - Fax:202-223-2152
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD3435208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD30846Medicaid
DC4438400Medicaid
B93029Medicare UPIN
1057796Medicare ID - Type Unspecified