Provider Demographics
NPI:1689889123
Name:KANIG, STEVEN PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:PAUL
Last Name:KANIG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3325 CALLE DE DANIEL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87104-3023
Mailing Address - Country:US
Mailing Address - Phone:505-242-1134
Mailing Address - Fax:505-242-1134
Practice Address - Street 1:3325 CALLE DE DANIEL NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87104-3023
Practice Address - Country:US
Practice Address - Phone:505-242-1134
Practice Address - Fax:505-242-1134
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM78-44207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMD43191Medicare UPIN