Provider Demographics
NPI:1225062748
Name:BASS, STEVEN N (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:N
Last Name:BASS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3609 PARK EAST DR
Mailing Address - Street 2:207
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4331
Mailing Address - Country:US
Mailing Address - Phone:216-360-0456
Mailing Address - Fax:216-360-9449
Practice Address - Street 1:3609 PARK EAST DR
Practice Address - Street 2:207
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4331
Practice Address - Country:US
Practice Address - Phone:216-360-0456
Practice Address - Fax:216-360-9449
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-12-05
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Provider Licenses
StateLicense IDTaxonomies
OH35042987B207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0487236Medicaid
OH0487236Medicaid