Provider Demographics
NPI:1205896198
Name:NEIMAN, LEE M (MD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:M
Last Name:NEIMAN
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 1:7227 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208
Mailing Address - Country:US
Mailing Address - Phone:412-244-4700
Mailing Address - Fax:412-244-4992
Practice Address - Street 1:1800 W ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120
Practice Address - Country:US
Practice Address - Phone:412-461-3863
Practice Address - Fax:412-461-3808
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD008407E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0767993Medicaid
B33366Medicare UPIN
019430EHXMedicare ID - Type Unspecified