Provider Demographics
NPI:1679665293
Name:SILVERSTEIN, STEVEN VAUGHN (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:VAUGHN
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 W 5TH AVE STE 404
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2841
Mailing Address - Country:US
Mailing Address - Phone:800-765-3005
Mailing Address - Fax:509-747-3826
Practice Address - Street 1:801 W 5TH AVE STE 404
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2841
Practice Address - Country:US
Practice Address - Phone:800-765-3005
Practice Address - Fax:509-747-3826
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00018870208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1779602Medicaid
WAWA5329OtherMOLINA
WAK5536OtherIDAHO BLUE CROSS
WA18884OtherLABOR & INDUSTRIES
WAWA5329OtherMOLINA