Provider Demographics
NPI:1497722466
Name:WARSOF, STEVEN L (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:WARSOF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:EVMS MEDICAL GROUP
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-7900
Mailing Address - Fax:757-624-2254
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-7900
Practice Address - Fax:757-624-2254
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2013-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101031054207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC05233OtherBC/BS
NC8905233Medicaid
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherAETNA
VA244345OtherANTHEM
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherMULTIPLAN
VA3124632OtherUHC/MAMSI
VAPAROtherCORVEL/CORCARE
VAPAROtherUSA MANAGED CARE
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VA007601191Medicaid
VA-010OtherTRICARE/CHAMPUS
VA15177OtherSENTARA
VAPAROtherCIGNA
VAPAROtherUSA MANAGED CARE
VA160001659Medicare PIN
VA15177OtherSENTARA