Provider Demographics
NPI:1245235258
Name:STEINBERG, LOUIS EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:EDWARD
Last Name:STEINBERG
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 1:6201 GREENBELT RD
Mailing Address - Street 2:U12
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2347
Mailing Address - Country:US
Mailing Address - Phone:301-345-4667
Mailing Address - Fax:301-345-2830
Practice Address - Street 1:6201 GREENBELT RD
Practice Address - Street 2:U12
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-2347
Practice Address - Country:US
Practice Address - Phone:301-345-4667
Practice Address - Fax:301-345-2830
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0012015207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
10420384OtherCAQH
146441500OtherDEPT OF LABOR OWCP
0451280OtherAETNA
05937OtherAMERICAID
28926OtherMAMSIOPT CHOICEMDIPA
1398691012OtherCIGNA
MD017381900Medicaid
MD0712OtherMARYLAND BLUE SHIELD
0716OtherCARE FIRST BCBSDC
MD8232OtherMARYLAND BLUE SHIELD PC
0451280OtherAETNA
28926OtherMAMSIOPT CHOICEMDIPA
MD017381900Medicaid