Provider Demographics
NPI:1235227299
Name:MEYERHUBER, STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:MEYERHUBER
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 1:700 GEIPE RD
Mailing Address - Street 2:STE 230
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4176
Mailing Address - Country:US
Mailing Address - Phone:215-579-9126
Mailing Address - Fax:215-579-9126
Practice Address - Street 1:700 GEIPE RD STE 220
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4577
Practice Address - Country:US
Practice Address - Phone:410-242-3636
Practice Address - Fax:410-242-4404
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0071485207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
081172Medicare ID - Type Unspecified
I11420Medicare UPIN