Provider Demographics
NPI:1518983287
Name:NAKAJIMA, STEVEN T (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:T
Last Name:NAKAJIMA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:550 S JACKSON ST FL ST2
Mailing Address - Street 2:DEPT OB/GYN ATT VICKI MASTERSON
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-1622
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:401 E CHESTNUT ST
Practice Address - Street 2:SUITE 410
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-5700
Practice Address - Country:US
Practice Address - Phone:502-271-5999
Practice Address - Fax:502-271-5994
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2014-06-23
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Provider Licenses
StateLicense IDTaxonomies
KY34271207VE0102X
CAG50959207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1073354OtherPASSPORT SPECIALITY PCS
KY000000045431OtherANTHEM PSC
KY000000047618OtherANTHEM FOUNDATION
KY64342710Medicaid
KY1073353OtherPASSPORT PCP FOUNDATION
KY1071901OtherPASSPORT SPECIALITY FOUNDATION
IN200182690Medicaid
IN200182690Medicaid
KY1073354OtherPASSPORT SPECIALITY PCS
KY64342710Medicaid