Provider Demographics
NPI:1326045907
Name:PARIS, STEVEN WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:WILLIAM
Last Name:PARIS
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 1:14555 LEVAN ROAD
Mailing Address - Street 2:STE 303
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-5085
Mailing Address - Country:US
Mailing Address - Phone:734-591-6660
Mailing Address - Fax:734-591-3420
Practice Address - Street 1:14555 LEVAN RD
Practice Address - Street 2:STE 303
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-5085
Practice Address - Country:US
Practice Address - Phone:734-591-6660
Practice Address - Fax:734-591-3420
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301028014207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0308235361OtherBC PIN
A77422Medicare UPIN
MIP13350001Medicare PIN
MI0308235361OtherBC PIN