Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | D0025808 | MD |
NPI | 1003911835 |
---|---|
Provider Name | Herman B Segal |
First Address | Baltimore, MD 21236-4902 |
Second Address | Silver Spring, MD 20910-3861 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0787143 | AETNA (01) | |
24324 | MAMSI (01) | |
328181600 | (05) | MD |
4086234 | UNITED HEALTH CARE (01) | |
58030001 | BLUE CROSS DC (01) | |
C62702 | (02) | |
CM6438 | RAILROAD MEDICARE (01) | |
KA62IT | BLUE CROSS MD (01) |