Provider Demographics
NPI:1154389575
Name:FELDMAN, PAUL R (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:R
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2901 BOSTON ST
Mailing Address - Street 2:613
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-4800
Mailing Address - Country:US
Mailing Address - Phone:410-732-0505
Mailing Address - Fax:443-263-7373
Practice Address - Street 1:10 HOPKINS PLZ
Practice Address - Street 2:DEPT OB GYN
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2900
Practice Address - Country:US
Practice Address - Phone:443-263-7338
Practice Address - Fax:443-263-7373
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2011-11-22
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Provider Licenses
StateLicense IDTaxonomies
MDD24839207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3204758Medicaid
MA3204758Medicaid