Provider Demographics
NPI:1548405376
Name:RAIZMAN, NOAH M (MD)
Entity type:Individual
Prefix:DR
First Name:NOAH
Middle Name:M
Last Name:RAIZMAN
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 1:1015 18TH ST NW STE 300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5217
Mailing Address - Country:US
Mailing Address - Phone:202-835-2222
Mailing Address - Fax:202-969-1798
Practice Address - Street 1:1015 18TH ST NW STE 300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5217
Practice Address - Country:US
Practice Address - Phone:202-835-2222
Practice Address - Fax:202-969-1798
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD74174207X00000X, 207XS0106X, 207XS0106X
DCMD040432207X00000X, 207XS0106X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery