Provider Demographics
NPI:1437266129
Name:WARDEN, STEVEN SCOTT (MD FACS MBA)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SCOTT
Last Name:WARDEN
Suffix:
Gender:M
Credentials:MD FACS MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1004 1ST COLONIAL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454
Mailing Address - Country:US
Mailing Address - Phone:757-481-9402
Mailing Address - Fax:757-481-0657
Practice Address - Street 1:1004 1ST COLONIAL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454
Practice Address - Country:US
Practice Address - Phone:757-481-9402
Practice Address - Fax:757-481-0657
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101031498208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA068525OtherANTHEM
VA7594887Medicaid
340000050Medicare ID - Type Unspecified
VA7594887Medicaid