Provider Demographics
NPI:1730623182
Name:NEWMAN, RALPH HOWARD (MD)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:HOWARD
Last Name:NEWMAN
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 1:1019 BOOKMARK TRL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-9871
Mailing Address - Country:US
Mailing Address - Phone:615-913-2667
Mailing Address - Fax:
Practice Address - Street 1:1019 BOOKMARK TRL
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-9871
Practice Address - Country:US
Practice Address - Phone:615-913-2667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-05
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96010222084P0800X
TN0000053847283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry