Provider Demographics
NPI:1073603791
Name:ESTEVES, DEBORAH (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:
Last Name:ESTEVES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7895 CURRIER DR
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49002-4314
Mailing Address - Country:US
Mailing Address - Phone:269-324-8670
Mailing Address - Fax:269-321-7154
Practice Address - Street 1:7895 CURRIER DR
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49002-4314
Practice Address - Country:US
Practice Address - Phone:269-324-8670
Practice Address - Fax:269-321-7154
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300148207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89-134W5Medicaid
NC0017695OtherCIGNA
NC443355OtherWELLPATH
NC134W5OtherBCBS
NC2341855OtherUNITED HC
NC134W5OtherBCBS
NC443355OtherWELLPATH