1245235258 NPI number — LOUIS EDWARD STEINBERG M.D.

Table of content: LOUIS EDWARD STEINBERG M.D. (NPI 1245235258)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245235258 NPI number — LOUIS EDWARD STEINBERG M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEINBERG
Provider First Name:
LOUIS
Provider Middle Name:
EDWARD
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245235258
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/10/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6201 GREENBELT RD
Provider Second Line Business Mailing Address:
U12
Provider Business Mailing Address City Name:
COLLEGE PARK
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20740-2347
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-345-4667
Provider Business Mailing Address Fax Number:
301-345-2830

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6201 GREENBELT RD
Provider Second Line Business Practice Location Address:
U12
Provider Business Practice Location Address City Name:
COLLEGE PARK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20740-2347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-345-4667
Provider Business Practice Location Address Fax Number:
301-345-2830
Provider Enumeration Date:
06/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X , with the licence number:  D0012015 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10420384 . This is a "CAQH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 146441500 . This is a "DEPT OF LABOR OWCP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0451280 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 05937 . This is a "AMERICAID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 28926 . This is a "MAMSIOPT CHOICEMDIPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1398691012 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 017381900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0712 . This is a "MARYLAND BLUE SHIELD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0716 . This is a "CARE FIRST BCBSDC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8232 . This is a "MARYLAND BLUE SHIELD PC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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