Provider Demographics
NPI:1225093099
Name:STEIN, WILLIAM III (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:STEIN
Suffix:III
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 1:328 RUE SAINT PETER
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3472
Mailing Address - Country:US
Mailing Address - Phone:504-830-4614
Mailing Address - Fax:504-830-4614
Practice Address - Street 1:328 RUE SAINT PETER
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3472
Practice Address - Country:US
Practice Address - Phone:504-830-4614
Practice Address - Fax:504-830-4614
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA012863207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1146862Medicaid
830003975OtherRAILROAD MEDICARE
LA55988CB84Medicare PIN
LA55988F818Medicare PIN
D84475Medicare UPIN