Provider Demographics
NPI:1811900509
Name:POSTMAN, MARSHALL (MD)
Entity type:Individual
Prefix:
First Name:MARSHALL
Middle Name:
Last Name:POSTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:I.
Other - Middle Name:MARSHALL
Other - Last Name:POSTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4790 CAUGHLIN PKWY
Mailing Address - Street 2:# 401
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89519-0907
Mailing Address - Country:US
Mailing Address - Phone:775-722-4900
Mailing Address - Fax:
Practice Address - Street 1:4790 CAUGHLIN PKWY
Practice Address - Street 2:# 401
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89519-0907
Practice Address - Country:US
Practice Address - Phone:775-722-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2361207K00000X
CAG13341207K00000X
HI7773207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
35895Medicare ID - Type Unspecified
C96458Medicare UPIN