Provider Demographics
NPI:1366623720
Name:STEVEN J ADASHEK MD PA
Entity Type:Organization
Organization Name:STEVEN J ADASHEK MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ADASHEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-296-8021
Mailing Address - Street 1:1205 YORK ROAD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6211
Mailing Address - Country:US
Mailing Address - Phone:410-296-8021
Mailing Address - Fax:410-296-8060
Practice Address - Street 1:1205 YORK ROAD
Practice Address - Street 2:SUITE 12
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6211
Practice Address - Country:US
Practice Address - Phone:410-296-8021
Practice Address - Fax:410-296-8060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0032547174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty