Provider Demographics
NPI:1629270095
Name:TAUB, STEVEN LESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LESTER
Last Name:TAUB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9025 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4120
Mailing Address - Country:US
Mailing Address - Phone:301-254-8400
Mailing Address - Fax:301-565-8266
Practice Address - Street 1:9025 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4120
Practice Address - Country:US
Practice Address - Phone:301-254-8400
Practice Address - Fax:301-565-8266
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026046207R00000X, 2081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C88976Medicare UPIN