Provider Demographics
NPI:1962469874
Name:NEWMAN, ROBERT V (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:V
Last Name:NEWMAN
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 1:10261 N 92ND ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4502
Mailing Address - Country:US
Mailing Address - Phone:480-443-4437
Mailing Address - Fax:480-443-4525
Practice Address - Street 1:10261 N 92ND ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4502
Practice Address - Country:US
Practice Address - Phone:480-443-4437
Practice Address - Fax:480-443-4525
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13732174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ118605Medicare PIN
AZZ16WCHFK03Medicare ID - Type Unspecified
AZD37376Medicare UPIN