Provider Demographics
NPI:1497895726
Name:BATES, STEVEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:BATES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2581 SAMARITAN DR STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4112
Mailing Address - Country:US
Mailing Address - Phone:408-356-4241
Mailing Address - Fax:
Practice Address - Street 1:2581 SAMARITAN DR STE 102
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4112
Practice Address - Country:US
Practice Address - Phone:408-356-4241
Practice Address - Fax:408-356-4924
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2020-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA79104208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery