Provider Demographics
NPI:1619144300
Name:CHEN, STEVE SIHAO (MD)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:SIHAO
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SIHAO
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12240 INDIAN CREEK CT
Mailing Address - Street 2:STE 130
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1242
Mailing Address - Country:US
Mailing Address - Phone:240-560-5095
Mailing Address - Fax:240-560-5706
Practice Address - Street 1:12240 INDIAN CREEK CT STE 130
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1260
Practice Address - Country:US
Practice Address - Phone:240-560-5089
Practice Address - Fax:240-560-5706
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY250786207L00000X
MDD0077485207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD430542ZQLEMedicare PIN