Provider Demographics
NPI:1477833408
Name:NEUMAN, HERBERT RUDOLF (MD)
Entity type:Individual
Prefix:
First Name:HERBERT
Middle Name:RUDOLF
Last Name:NEUMAN
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 1:858 CORRIENTE POINT DR
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1285
Mailing Address - Country:US
Mailing Address - Phone:650-620-9711
Mailing Address - Fax:
Practice Address - Street 1:858 CORRIENTE POINT DR
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94065-1285
Practice Address - Country:US
Practice Address - Phone:650-620-9711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-22
Last Update Date:2013-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.108452207R00000X
CAG89366207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine