Provider Demographics
NPI:1558362111
Name:DIENER, STEVEN HUNT (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HUNT
Last Name:DIENER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7580 BUCKINGHAM BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-3210
Mailing Address - Country:US
Mailing Address - Phone:410-729-5100
Mailing Address - Fax:
Practice Address - Street 1:5900 WATERLOO RD STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2641
Practice Address - Country:US
Practice Address - Phone:410-740-2900
Practice Address - Fax:410-992-0732
Is Sole Proprietor?:No
Enumeration Date:2005-08-04
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD34868207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD398142-01OtherCAREFIRST MD RENDERING
MD4087647OtherAETNA FEE FOR SERVICE
MDP12727OtherCAREFIRST MPOS
MD066221OtherAETNA CAPITATED
MD1333045OtherCIGNA PIN
MD110140700OtherRR MEDICARE
MD243354OtherMAMSI SPECIALIST
MD14480OtherJHHC PROVIDER NUMBER
MD443221500Medicaid
MD843354OtherMAMSI PRIMARY CARE
MD3509-0002OtherCAREFIRST BLUECHOICE
MD14480OtherJHHC PROVIDER NUMBER
MD843354OtherMAMSI PRIMARY CARE